Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.91 / $58.91 / $58.91	Facility	26	$58.91	$58.91	$58.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.45 / $283.38 / $454.60	Professional		$226.45	$283.38	$454.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.29 / $58.91 / $112.29	Professional	26	$49.29	$58.91	$112.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.97 / $220.00 / $362.21	Professional	TC	$168.97	$220.00	$362.21
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $48.37 / $48.37 / $48.37	Facility	26	$48.37	$48.37	$48.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.74 / $752.50 / $912.67	Professional		$443.74	$752.50	$912.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.58 / $164.43 / $199.43	Professional	26	$99.58	$164.43	$199.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $404.89 / $588.07 / $713.24	Professional	TC	$404.89	$588.07	$713.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.81 / $199.47 / $479.85	Facility	26	$127.81	$199.47	$479.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.85 / $498.22 / $833.96	Professional		$358.85	$498.22	$833.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.03 / $108.92 / $184.98	Professional	26	$65.03	$108.92	$184.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.42 / $389.29 / $660.45	Professional	TC	$281.42	$389.29	$660.45
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $110.75 / $175.87 / $377.84	Facility	26	$110.75	$175.87	$377.84
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $392.30 / $481.66 / $761.48	Professional		$392.30	$481.66	$761.48
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $85.77 / $105.30 / $173.14	Professional	26	$85.77	$105.30	$173.14
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $306.52 / $376.35 / $595.00	Professional	TC	$306.52	$376.35	$595.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $537.20 / $537.20 / $537.20	Facility	26	$537.20	$537.20	$537.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $291.50 / $508.05 / $2,195.67	Professional		$291.50	$508.05	$2,195.67
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.44 / $112.94 / $439.20	Professional	26	$62.44	$112.94	$439.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $224.34 / $395.07 / $1,890.23	Professional	TC	$224.34	$395.07	$1,890.23
United Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $477.00 / $894.77	Professional		$276.45	$477.00	$894.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.44 / $109.89 / $204.86	Professional	26	$62.44	$109.89	$204.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.01 / $377.07 / $712.50	Professional	TC	$214.01	$377.07	$712.50