Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $83.18 / $144.54	Facility	26	$77.62	$83.18	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $954.99	Professional		$181.97	$275.42	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $91.20 / $288.40	Professional	26	$77.62	$91.20	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $138.04 / $338.84	Professional	TC	$95.50	$138.04	$338.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $69.18 / $69.18	Facility	26	$60.26	$69.18	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $676.08	Professional		$309.03	$446.68	$676.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $194.98 / $295.12	Professional	26	$134.90	$194.98	$295.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $263.03 / $380.19	Professional	TC	$173.78	$263.03	$380.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $263.03 / $724.44	Facility	26	$67.61	$263.03	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $630.96	Professional		$229.09	$363.08	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $154.88 / $257.04	Professional	26	$93.33	$154.88	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $204.17 / $380.19	Professional	TC	$131.83	$204.17	$380.19
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $288.40 / $562.34	Facility	26	$234.42	$288.40	$562.34
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $549.54	Professional		$281.84	$281.84	$549.54
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $123.03 / $190.55	Professional	26	$123.03	$123.03	$190.55
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $162.18 / $323.59	Professional	TC	$162.18	$162.18	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $501.19 / $1,412.54	Professional		$208.93	$501.19	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $218.78 / $602.56	Professional	26	$112.20	$218.78	$602.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $204.17 / $1,318.26	Professional	TC	$114.82	$204.17	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $616.60	Professional		$204.17	$338.84	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $147.91 / $263.03	Professional	26	$85.11	$147.91	$263.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $199.53 / $346.74	Professional	TC	$114.82	$199.53	$346.74