Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.27 / $50.27 / $50.27	Facility	26	$50.27	$50.27	$50.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $136.88 / $262.00	Professional		$109.45	$136.88	$262.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $50.27 / $138.56	Professional	26	$29.91	$50.27	$138.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $99.05 / $159.84	Professional	TC	$79.54	$99.05	$159.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $40.88 / $40.88 / $40.88	Facility	26	$40.88	$40.88	$40.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.22 / $444.92 / $539.63	Professional		$263.22	$444.92	$539.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.44 / $140.25 / $170.10	Professional	26	$84.44	$140.25	$170.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $210.22 / $304.68 / $369.53	Professional	TC	$210.22	$304.68	$369.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.63 / $167.09 / $410.89	Facility	26	$98.63	$167.09	$410.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $294.55 / $487.56	Professional		$151.78	$294.55	$487.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.07 / $92.17 / $152.36	Professional	26	$41.07	$92.17	$152.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.67 / $202.38 / $338.76	Professional	TC	$106.67	$202.38	$338.76
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $87.83 / $150.59 / $323.54	Facility	26	$87.83	$150.59	$323.54
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $231.93 / $274.52 / $468.20	Professional		$231.93	$274.52	$468.20
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $72.56 / $85.90 / $146.50	Professional	26	$72.56	$85.90	$146.50
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $159.36 / $188.62 / $321.69	Professional	TC	$159.36	$188.62	$321.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $219.49 / $219.49 / $219.49	Facility	26	$219.49	$219.49	$219.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $281.95 / $1,019.78	Professional		$156.63	$281.95	$1,019.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.15 / $76.37 / $310.80	Professional	26	$45.15	$76.37	$310.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $103.58 / $203.02 / $708.98	Professional	TC	$103.58	$203.02	$708.98
United Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $249.04 / $477.53	Professional		$148.80	$249.04	$477.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.15 / $65.98 / $161.74	Professional	26	$45.15	$65.98	$161.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.58 / $188.64 / $315.79	Professional	TC	$103.58	$188.64	$315.79