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 $156.60 / $274.70 / $340.53	Professional		$156.60	$274.70	$340.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $56.42 / $255.77	Professional	26	$50.07	$56.42	$255.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.11 / $219.14 / $279.66	Professional	TC	$112.11	$219.14	$279.66
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 $295.25 / $496.18 / $601.79	Professional		$295.25	$496.18	$601.79
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 $233.58 / $338.53 / $410.59	Professional	TC	$233.58	$338.53	$410.59
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 $259.83 / $333.45 / $620.52	Professional		$259.83	$333.45	$620.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.57 / $103.77 / $178.13	Professional	26	$62.57	$103.77	$178.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $178.13 / $235.70 / $456.69	Professional	TC	$178.13	$235.70	$456.69
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 $259.83 / $324.80 / $553.79	Professional		$259.83	$324.80	$553.79
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $81.70 / $101.62 / $164.94	Professional	26	$81.70	$101.62	$164.94
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $178.13 / $222.67 / $406.52	Professional	TC	$178.13	$222.67	$406.52
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 $216.36 / $395.84 / $1,638.03	Professional		$216.36	$395.84	$1,638.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $110.53 / $376.34	Professional	26	$59.19	$110.53	$376.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $151.25 / $292.16 / $1,335.34	Professional	TC	$151.25	$292.16	$1,335.34
United Facility/Professional Professional Modifier Low / Median / High Price $196.69 / $361.34 / $654.84	Professional		$196.69	$361.34	$654.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $98.89 / $186.46	Professional	26	$59.19	$98.89	$186.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $137.50 / $274.98 / $457.78	Professional	TC	$137.50	$274.98	$457.78