Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.93 / $83.93 / $83.93	Facility	26	$83.93	$83.93	$83.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.69 / $425.00 / $666.86	Professional		$286.69	$425.00	$666.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.93 / $124.36 / $216.76	Professional	26	$83.93	$124.36	$216.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.99 / $315.32 / $458.80	Professional	TC	$199.99	$315.32	$458.80
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $68.53 / $68.53 / $68.53	Facility	26	$68.53	$68.53	$68.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.77 / $800.86 / $971.33	Professional		$475.77	$800.86	$971.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.51 / $234.07 / $283.89	Professional	26	$141.51	$234.07	$283.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $393.25 / $566.79 / $687.44	Professional	TC	$393.25	$566.79	$687.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $182.14 / $284.27 / $683.86	Facility	26	$182.14	$284.27	$683.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.69 / $553.94 / $1,073.42	Professional		$418.69	$553.94	$1,073.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.43 / $154.04 / $263.33	Professional	26	$92.43	$154.04	$263.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $297.39 / $398.46 / $806.51	Professional	TC	$297.39	$398.46	$806.51
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $157.84 / $250.64 / $538.48	Facility	26	$157.84	$250.64	$538.48
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $418.69 / $520.74 / $989.53	Professional		$418.69	$520.74	$989.53
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $121.29 / $150.86 / $244.86	Professional	26	$121.29	$150.86	$244.86
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $297.39 / $369.88 / $763.97	Professional	TC	$297.39	$369.88	$763.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $764.32 / $764.32 / $764.32	Facility	26	$764.32	$764.32	$764.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.96 / $711.79 / $3,389.77	Professional		$346.96	$711.79	$3,389.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $88.78 / $160.44 / $657.14	Professional	26	$88.78	$160.44	$657.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $249.30 / $535.60 / $2,953.83	Professional	TC	$249.30	$535.60	$2,953.83
United Facility/Professional Professional Modifier Low / Median / High Price $342.39 / $680.97 / $1,011.76	Professional		$342.39	$680.97	$1,011.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.78 / $154.85 / $270.67	Professional	26	$88.78	$154.85	$270.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.07 / $470.04 / $733.18	Professional	TC	$234.07	$470.04	$733.18