Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.45 / $67.45 / $67.45	Facility	26	$67.45	$67.45	$67.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.79 / $366.58 / $1,139.00	Professional		$234.79	$366.58	$1,139.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.75 / $67.45 / $148.34	Professional	26	$56.75	$67.45	$148.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.97 / $234.19 / $381.20	Professional	TC	$168.97	$234.19	$381.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $55.28 / $55.28 / $55.28	Facility	26	$55.28	$55.28	$55.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.46 / $780.55 / $946.69	Professional		$459.46	$780.55	$946.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.14 / $189.58 / $229.93	Professional	26	$114.14	$189.58	$229.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $405.64 / $590.97 / $716.76	Professional	TC	$405.64	$590.97	$716.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $146.94 / $229.33 / $551.69	Facility	26	$146.94	$229.33	$551.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.08 / $514.98 / $869.12	Professional		$379.08	$514.98	$869.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.26 / $124.39 / $213.54	Professional	26	$75.26	$124.39	$213.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $282.81 / $390.58 / $662.64	Professional	TC	$282.81	$390.58	$662.64
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $127.33 / $202.20 / $434.40	Facility	26	$127.33	$202.20	$434.40
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $405.49 / $498.14 / $787.09	Professional		$405.49	$498.14	$787.09
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $97.95 / $121.82 / $197.73	Professional	26	$97.95	$121.82	$197.73
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $307.55 / $377.60 / $596.97	Professional	TC	$307.55	$377.60	$596.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $619.20 / $619.20 / $619.20	Facility	26	$619.20	$619.20	$619.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $293.93 / $547.78 / $2,385.40	Professional		$293.93	$547.78	$2,385.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.81 / $133.34 / $533.30	Professional	26	$71.81	$133.34	$533.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $216.73 / $390.41 / $2,603.00	Professional	TC	$216.73	$390.41	$2,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.30 / $481.61 / $908.84	Professional		$283.30	$481.61	$908.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.54 / $119.31 / $218.96	Professional	26	$70.54	$119.31	$218.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.48 / $364.26 / $704.08	Professional	TC	$211.48	$364.26	$704.08