Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.51 / $57.51 / $57.51	Facility	26	$57.51	$57.51	$57.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.27 / $223.90 / $725.00	Professional		$137.27	$223.90	$725.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.28 / $57.82 / $185.86	Professional	26	$51.28	$57.82	$185.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.15 / $164.40 / $220.00	Professional	TC	$81.15	$164.40	$220.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.22 / $47.22 / $47.22	Facility	26	$47.22	$47.22	$47.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.67 / $406.23 / $492.70	Professional		$241.67	$406.23	$492.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.25 / $161.53 / $195.91	Professional	26	$97.25	$161.53	$195.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $168.84 / $244.70 / $296.79	Professional	TC	$168.84	$244.70	$296.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.51 / $195.89 / $471.23	Facility	26	$125.51	$195.89	$471.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.12 / $273.37 / $557.48	Professional		$212.12	$273.37	$557.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.37 / $106.35 / $181.46	Professional	26	$64.37	$106.35	$181.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.40 / $169.28 / $406.52	Professional	TC	$128.40	$169.28	$406.52
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $108.76 / $172.71 / $371.05	Facility	26	$108.76	$172.71	$371.05
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $212.14 / $274.00 / $539.22	Professional		$212.14	$274.00	$539.22
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $83.74 / $104.67 / $169.04	Professional	26	$83.74	$104.67	$169.04
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $128.40 / $165.84 / $364.44	Professional	TC	$128.40	$165.84	$364.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $527.60 / $527.60 / $527.60	Facility	26	$527.60	$527.60	$527.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.74 / $300.56 / $1,561.56	Professional		$166.74	$300.56	$1,561.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.99 / $112.42 / $386.35	Professional	26	$60.99	$112.42	$386.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $99.65 / $180.80 / $1,649.00	Professional	TC	$99.65	$180.80	$1,649.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $272.20 / $500.49	Professional		$151.58	$272.20	$500.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.99 / $105.23 / $186.12	Professional	26	$60.99	$105.23	$186.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.59 / $167.16 / $301.60	Professional	TC	$90.59	$167.16	$301.60