Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.28 / $84.28 / $142.43	Facility	26	$84.28	$84.28	$142.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.59 / $227.65 / $1,244.50	Professional		$181.59	$227.65	$1,244.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.45 / $107.89 / $295.20	Professional	26	$75.45	$107.89	$295.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.63 / $128.99 / $307.50	Professional	TC	$101.63	$128.99	$307.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $69.09 / $69.09 / $69.09	Facility	26	$69.09	$69.09	$69.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.52 / $544.54 / $660.46	Professional		$325.52	$544.54	$660.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $142.66 / $236.00 / $286.24	Professional	26	$142.66	$236.00	$286.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $212.89 / $308.54 / $374.22	Professional	TC	$212.89	$308.54	$374.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $183.67 / $286.66 / $689.61	Facility	26	$183.67	$286.66	$689.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.49 / $361.58 / $675.07	Professional		$249.49	$361.58	$675.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.44 / $155.33 / $266.64	Professional	26	$97.44	$155.33	$266.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.84 / $206.25 / $416.36	Professional	TC	$139.84	$206.25	$416.36
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $159.16 / $252.74 / $543.00	Facility	26	$159.16	$252.74	$543.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $284.70 / $367.74 / $607.96	Professional		$284.70	$367.74	$607.96
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $122.31 / $152.88 / $246.90	Professional	26	$122.31	$152.88	$246.90
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $162.40 / $209.76 / $378.12	Professional	TC	$162.40	$209.76	$378.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.66 / $426.78 / $1,217.23	Professional		$212.66	$426.78	$1,217.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $106.97 / $205.80 / $521.24	Professional	26	$106.97	$205.80	$521.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $116.55 / $208.94 / $1,308.00	Professional	TC	$116.55	$208.94	$1,308.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.18 / $361.38 / $640.41	Professional		$203.18	$361.38	$640.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.14 / $157.19 / $272.02	Professional	26	$89.14	$157.19	$272.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.04 / $197.34 / $377.79	Professional	TC	$114.04	$197.34	$377.79