Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.11 / $56.11 / $56.11	Facility	26	$56.11	$56.11	$56.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $272.22 / $404.82	Professional		$199.00	$272.22	$404.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $56.11 / $122.07	Professional	26	$50.07	$56.11	$122.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.05 / $196.72 / $295.16	Professional	TC	$147.05	$196.72	$295.16
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $46.07 / $46.07 / $46.07	Facility	26	$46.07	$46.07	$46.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.23 / $596.37 / $724.98	Professional		$333.23	$596.37	$724.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.92 / $157.66 / $191.22	Professional	26	$94.92	$157.66	$191.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $303.64 / $440.09 / $533.76	Professional	TC	$303.64	$440.09	$533.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.45 / $191.11 / $459.74	Facility	26	$122.45	$191.11	$459.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.67 / $396.38 / $692.25	Professional		$287.67	$396.38	$692.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.04 / $103.77 / $177.03	Professional	26	$62.04	$103.77	$177.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $211.31 / $292.61 / $514.08	Professional	TC	$211.31	$292.61	$514.08
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $106.11 / $168.50 / $362.00	Facility	26	$106.11	$168.50	$362.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $312.11 / $388.19 / $630.07	Professional		$312.11	$388.19	$630.07
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $81.70 / $100.32 / $164.94	Professional	26	$81.70	$100.32	$164.94
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $230.41 / $286.56 / $465.12	Professional	TC	$230.41	$286.56	$465.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $514.88 / $514.88 / $514.88	Facility	26	$514.88	$514.88	$514.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.58 / $420.77 / $1,627.19	Professional		$246.58	$420.77	$1,627.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $107.61 / $345.18	Professional	26	$59.19	$107.61	$345.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $181.75 / $311.02 / $1,330.47	Professional	TC	$181.75	$311.02	$1,330.47
United Facility/Professional Professional Modifier Low / Median / High Price $225.92 / $402.11 / $726.20	Professional		$225.92	$402.11	$726.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $106.55 / $194.72	Professional	26	$59.19	$106.55	$194.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.73 / $302.77 / $555.09	Professional	TC	$166.73	$302.77	$555.09