Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $70.79 / $120.23	Facility	26	$64.57	$70.79	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $426.58 / $1,258.93	Professional		$204.17	$426.58	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $138.04 / $354.81	Professional	26	$69.18	$138.04	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $263.03 / $549.54	Professional	TC	$131.83	$263.03	$549.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $57.54 / $57.54	Facility	26	$50.12	$57.54	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $707.95	Professional		$323.59	$489.78	$707.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $165.96 / $245.47	Professional	26	$112.20	$165.96	$245.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $338.84 / $467.74	Professional	TC	$213.80	$338.84	$467.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $218.78 / $602.56	Facility	26	$56.23	$218.78	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $831.76	Professional		$302.00	$389.05	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $128.82 / $213.80	Professional	26	$74.13	$128.82	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $257.04 / $630.96	Professional	TC	$204.17	$257.04	$630.96
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $239.88 / $467.74	Facility	26	$194.98	$239.88	$467.74
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $812.83	Professional		$302.00	$302.00	$812.83
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $102.33 / $158.49	Professional	26	$102.33	$102.33	$158.49
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $204.17 / $549.54	Professional	TC	$204.17	$204.17	$549.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	26	$645.65	$645.65	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $549.54 / $2,818.38	Professional		$251.19	$549.54	$2,818.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $151.36 / $575.44	Professional	26	$75.86	$151.36	$575.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $389.05 / $2,454.71	Professional	TC	$158.49	$389.05	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $489.78 / $758.58	Professional		$229.09	$489.78	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $123.03 / $223.87	Professional	26	$72.44	$123.03	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $354.81 / $562.34	Professional	TC	$154.88	$354.81	$562.34