Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $57.54	Facility	26	$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $794.33	Professional		$223.87	$288.40	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $69.18 / $144.54	Professional	26	$54.95	$69.18	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $218.78 / $436.52	Professional	TC	$169.82	$218.78	$436.52
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $48.98 / $48.98	Facility	26	$42.66	$48.98	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $912.01	Professional		$416.87	$616.60	$912.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $138.04 / $204.17	Professional	26	$93.33	$138.04	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $501.19 / $707.95	Professional	TC	$323.59	$501.19	$707.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $181.97 / $501.19	Facility	26	$46.77	$181.97	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $812.83	Professional		$338.84	$501.19	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $109.65 / $181.97	Professional	26	$61.66	$109.65	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $389.05 / $645.65	Professional	TC	$257.04	$389.05	$645.65
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $204.17 / $398.11	Facility	26	$162.18	$204.17	$398.11
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $616.60	Professional		$389.05	$389.05	$616.60
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $134.90	Professional	26	$85.11	$85.11	$134.90
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $309.03 / $478.63	Professional	TC	$309.03	$309.03	$478.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	26	$537.03	$537.03	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $501.19 / $2,187.76	Professional		$275.42	$501.19	$2,187.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $109.65 / $436.52	Professional	26	$58.88	$109.65	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $398.11 / $1,905.46	Professional	TC	$213.80	$398.11	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $851.14	Professional		$275.42	$489.78	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $100.00 / $181.97	Professional	26	$61.66	$100.00	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $380.19 / $660.69	Professional	TC	$213.80	$380.19	$660.69