Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.72 / $70.72 / $119.51	Facility	26	$70.72	$70.72	$119.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.17 / $425.00 / $624.05	Professional		$209.17	$425.00	$624.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.72 / $126.00 / $331.20	Professional	26	$70.72	$126.00	$331.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.12 / $282.87 / $404.14	Professional	TC	$136.12	$282.87	$404.14
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $57.59 / $57.59 / $57.59	Facility	26	$57.59	$57.59	$57.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.49 / $584.20 / $708.55	Professional		$346.49	$584.20	$708.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.38 / $198.28 / $240.49	Professional	26	$119.38	$198.28	$240.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $266.27 / $385.92 / $468.07	Professional	TC	$266.27	$385.92	$468.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.06 / $238.89 / $574.67	Facility	26	$153.06	$238.89	$574.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.51 / $423.29 / $1,005.56	Professional		$304.51	$423.29	$1,005.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.00 / $129.55 / $222.39	Professional	26	$79.00	$129.55	$222.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.52 / $282.69 / $805.98	Professional	TC	$204.52	$282.69	$805.98
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $132.63 / $210.62 / $452.50	Facility	26	$132.63	$210.62	$452.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $398.88 / $965.85	Professional		$304.50	$398.88	$965.85
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $102.01 / $127.51 / $205.92	Professional	26	$102.01	$127.51	$205.92
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $202.49 / $261.54 / $791.91	Professional	TC	$202.49	$261.54	$791.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $647.12 / $647.12 / $647.12	Facility	26	$647.12	$647.12	$647.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.69 / $544.38 / $2,831.41	Professional		$251.69	$544.38	$2,831.41
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $146.13 / $579.54	Professional	26	$75.06	$146.13	$579.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.11 / $400.80 / $2,465.48	Professional	TC	$169.11	$400.80	$2,465.48
United Facility/Professional Professional Modifier Low / Median / High Price $228.81 / $491.94 / $780.00	Professional		$228.81	$491.94	$780.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.88 / $127.62 / $235.24	Professional	26	$74.88	$127.62	$235.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $153.74 / $372.48 / $555.25	Professional	TC	$153.74	$372.48	$555.25