Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.49 / $61.49 / $61.49	Facility	26	$61.49	$61.49	$61.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.67 / $303.77 / $741.73	Professional		$228.67	$303.77	$741.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $61.49 / $238.00	Professional	26	$54.86	$61.49	$238.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.65 / $220.00 / $341.67	Professional	TC	$168.65	$220.00	$341.67
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.39 / $50.39 / $50.39	Facility	26	$50.39	$50.39	$50.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.80 / $694.47 / $842.29	Professional		$408.80	$694.47	$842.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.24 / $173.13 / $209.98	Professional	26	$104.24	$173.13	$209.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $356.98 / $521.33 / $632.29	Professional	TC	$356.98	$521.33	$632.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.93 / $209.03 / $502.84	Facility	26	$133.93	$209.03	$502.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.95 / $457.61 / $765.99	Professional		$324.95	$457.61	$765.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.80 / $113.44 / $194.73	Professional	26	$68.80	$113.44	$194.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $244.14 / $344.18 / $576.11	Professional	TC	$244.14	$344.18	$576.11
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $116.06 / $184.29 / $395.94	Facility	26	$116.06	$184.29	$395.94
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $360.33 / $450.37 / $699.42	Professional		$360.33	$450.37	$699.42
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $89.32 / $111.09 / $180.31	Professional	26	$89.32	$111.09	$180.31
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $271.01 / $337.06 / $547.08	Professional	TC	$271.01	$337.06	$547.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $565.04 / $565.04 / $565.04	Facility	26	$565.04	$565.04	$565.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.58 / $464.52 / $1,846.75	Professional		$258.58	$464.52	$1,846.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.31 / $120.51 / $444.14	Professional	26	$65.31	$120.51	$444.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $188.24 / $338.13 / $2,104.00	Professional	TC	$188.24	$338.13	$2,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $436.93 / $822.61	Professional		$251.18	$436.93	$822.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.31 / $99.11 / $229.25	Professional	26	$65.31	$99.11	$229.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.86 / $315.95 / $609.26	Professional	TC	$185.86	$315.95	$609.26