Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.56 / $58.56 / $58.56	Facility	26	$58.56	$58.56	$58.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.48 / $275.00 / $397.76	Professional		$177.48	$275.00	$397.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $58.56 / $111.65	Professional	26	$49.60	$58.56	$111.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $132.33 / $197.64 / $337.38	Professional	TC	$132.33	$197.64	$337.38
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $48.08 / $48.08 / $48.08	Facility	26	$48.08	$48.08	$48.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.91 / $581.29 / $705.03	Professional		$345.91	$581.29	$705.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.00 / $164.43 / $199.43	Professional	26	$99.00	$164.43	$199.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $287.63 / $416.88 / $505.61	Professional	TC	$287.63	$416.88	$505.61
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 $305.01 / $393.46 / $698.89	Professional		$305.01	$393.46	$698.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.03 / $108.28 / $184.77	Professional	26	$65.03	$108.28	$184.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.75 / $290.74 / $516.28	Professional	TC	$219.75	$290.74	$516.28
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 $305.01 / $379.35 / $615.72	Professional		$305.01	$379.35	$615.72
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $85.26 / $104.68 / $172.12	Professional	26	$85.26	$104.68	$172.12
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $219.75 / $273.31 / $443.61	Professional	TC	$219.75	$273.31	$443.61
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 $260.43 / $477.02 / $2,082.64	Professional		$260.43	$477.02	$2,082.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.07 / $111.73 / $381.41	Professional	26	$62.07	$111.73	$381.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $192.15 / $370.88 / $1,754.89	Professional	TC	$192.15	$370.88	$1,754.89
United Facility/Professional Professional Modifier Low / Median / High Price $236.75 / $446.75 / $788.21	Professional		$236.75	$446.75	$788.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.07 / $109.57 / $319.85	Professional	26	$62.07	$109.57	$319.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.68 / $338.16 / $581.55	Professional	TC	$174.68	$338.16	$581.55