Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $1,174.90	Professional		$229.09	$323.59	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $97.72 / $239.88	Professional	26	$57.54	$97.72	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $218.78 / $467.74	Professional	TC	$162.18	$218.78	$467.74
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $50.12 / $50.12	Facility	26	$43.65	$50.12	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $851.14	Professional		$389.05	$562.34	$851.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $144.54 / $213.80	Professional	26	$97.72	$144.54	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $446.68 / $630.96	Professional	TC	$288.40	$446.68	$630.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $190.55 / $524.81	Facility	26	$48.98	$190.55	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $758.58	Professional		$295.12	$457.09	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $112.20 / $186.21	Professional	26	$64.57	$112.20	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $346.74 / $575.44	Professional	TC	$218.78	$346.74	$575.44
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $213.80 / $416.87	Facility	26	$169.82	$213.80	$416.87
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $562.34	Professional		$363.08	$363.08	$562.34
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $89.13 / $141.25	Professional	26	$89.13	$89.13	$141.25
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $269.15 / $426.58	Professional	TC	$269.15	$269.15	$426.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	26	$562.34	$562.34	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $1,862.09	Professional		$251.19	$478.63	$1,862.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $123.03 / $446.68	Professional	26	$64.57	$123.03	$446.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $338.84 / $2,089.30	Professional	TC	$186.21	$338.84	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $758.58	Professional		$251.19	$436.52	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $190.55	Professional	26	$64.57	$104.71	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $331.13 / $575.44	Professional	TC	$186.21	$331.13	$575.44