Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.16 / $48.16 / $81.87	Facility	26	$48.16	$48.16	$81.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $215.33 / $613.25	Professional		$67.11	$215.33	$613.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $55.00 / $220.95	Professional	26	$43.82	$55.00	$220.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.10 / $91.10 / $175.82	Professional	50	$91.10	$91.10	$175.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.74 / $167.62 / $220.00	Professional	TC	$82.74	$167.62	$220.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $39.45 / $39.45 / $39.45	Facility	26	$39.45	$39.45	$39.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.02 / $384.95 / $466.89	Professional		$230.02	$384.95	$466.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.52 / $135.41 / $164.23	Professional	26	$81.52	$135.41	$164.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.70 / $249.54 / $302.66	Professional	TC	$174.70	$249.54	$302.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.61 / $164.83 / $396.53	Facility	26	$105.61	$164.83	$396.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.99 / $267.24 / $533.91	Professional		$201.99	$267.24	$533.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.56 / $88.94 / $151.05	Professional	26	$55.56	$88.94	$151.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.94 / $181.61 / $410.59	Professional	TC	$131.94	$181.61	$410.59
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $91.52 / $145.33 / $312.23	Facility	26	$91.52	$145.33	$312.23
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $201.99 / $264.58 / $527.63	Professional		$201.99	$264.58	$527.63
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.04 / $83.99 / $141.38	Professional	26	$70.04	$83.99	$141.38
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $131.94 / $170.43 / $364.51	Professional	TC	$131.94	$170.43	$364.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $442.24 / $442.24 / $442.24	Facility	26	$442.24	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $340.21 / $1,378.78	Professional		$173.09	$340.21	$1,378.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.34 / $102.73 / $300.10	Professional	26	$55.34	$102.73	$300.10
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $547.28 / $547.28 / $547.28	Professional	50	$547.28	$547.28	$547.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $116.71 / $235.97 / $1,332.00	Professional	TC	$116.71	$235.97	$1,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $303.69 / $523.86	Professional		$157.35	$303.69	$523.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $91.43 / $257.70	Professional	26	$51.25	$91.43	$257.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.10 / $212.56 / $353.23	Professional	TC	$106.10	$212.56	$353.23