Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $56.23 / $85.11	Facility	26	$52.48	$56.23	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $794.33	Professional		$223.87	$302.00	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $186.21	Professional	26	$52.48	$85.11	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $218.78 / $436.52	Professional	TC	$162.18	$218.78	$436.52
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $45.71 / $45.71	Facility	26	$39.81	$45.71	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $831.76	Professional		$380.19	$562.34	$831.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $131.83 / $194.98	Professional	26	$89.13	$131.83	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $446.68 / $630.96	Professional	TC	$288.40	$446.68	$630.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $173.78 / $478.63	Facility	26	$44.67	$173.78	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $741.31	Professional		$288.40	$446.68	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $104.71 / $169.82	Professional	26	$58.88	$104.71	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $346.74 / $575.44	Professional	TC	$218.78	$346.74	$575.44
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $194.98 / $380.19	Facility	26	$154.88	$194.98	$380.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $549.54	Professional		$354.81	$354.81	$549.54
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $128.82	Professional	26	$81.28	$81.28	$128.82
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $275.42 / $426.58	Professional	TC	$275.42	$275.42	$426.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	26	$512.86	$512.86	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $1,819.70	Professional		$245.47	$446.68	$1,819.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $114.82 / $363.08	Professional	26	$58.88	$114.82	$363.08
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $331.13 / $1,513.56	Professional	TC	$186.21	$331.13	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $758.58	Professional		$245.47	$416.87	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $95.50 / $173.78	Professional	26	$57.54	$95.50	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $316.23 / $588.84	Professional	TC	$186.21	$316.23	$588.84