Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $87.10	Facility	26	$57.54	$57.54	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $724.44	Professional		$138.04	$218.78	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $79.43 / $186.21	Professional	26	$53.70	$79.43	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $120.23 / $275.42	Professional	TC	$81.28	$120.23	$275.42
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $47.86 / $47.86	Facility	26	$40.74	$47.86	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $501.19	Professional		$229.09	$338.84	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $134.90 / $199.53	Professional	26	$91.20	$134.90	$199.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $208.93 / $295.12	Professional	TC	$134.90	$208.93	$295.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $177.83 / $489.78	Facility	26	$45.71	$177.83	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $537.03	Professional		$190.55	$269.15	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $107.15 / $177.83	Professional	26	$60.26	$107.15	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $162.18 / $346.74	Professional	TC	$117.49	$162.18	$346.74
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $199.53 / $389.05	Facility	26	$158.49	$199.53	$389.05
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $436.52	Professional		$213.80	$213.80	$436.52
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $83.18 / $131.83	Professional	26	$83.18	$83.18	$131.83
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $128.82 / $323.59	Professional	TC	$128.82	$128.82	$323.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $302.00 / $1,548.82	Professional		$151.36	$302.00	$1,548.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $114.82 / $389.05	Professional	26	$60.26	$114.82	$389.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $181.97 / $1,659.59	Professional	TC	$91.20	$181.97	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $467.74	Professional		$151.36	$275.42	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $97.72 / $177.83	Professional	26	$60.26	$97.72	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $169.82 / $302.00	Professional	TC	$91.20	$169.82	$302.00