Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.04 / $84.04 / $84.04	Facility	26	$84.04	$84.04	$84.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.96 / $275.00 / $554.63	Professional		$224.96	$275.00	$554.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.69 / $84.04 / $191.91	Professional	26	$67.69	$84.04	$191.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.82 / $191.62 / $293.16	Professional	TC	$144.82	$191.62	$293.16
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $68.81 / $68.81 / $68.81	Facility	26	$68.81	$68.81	$68.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.14 / $677.05 / $821.17	Professional		$404.14	$677.05	$821.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $142.09 / $235.03 / $285.06	Professional	26	$142.09	$235.03	$285.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $304.98 / $442.02 / $536.11	Professional	TC	$304.98	$442.02	$536.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $182.91 / $285.47 / $686.74	Facility	26	$182.91	$285.47	$686.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.14 / $451.17 / $766.18	Professional		$299.14	$451.17	$766.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.12 / $155.33 / $263.77	Professional	26	$93.12	$155.33	$263.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.75 / $295.83 / $508.15	Professional	TC	$197.75	$295.83	$508.15
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $158.50 / $251.69 / $540.74	Facility	26	$158.50	$251.69	$540.74
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $355.25 / $458.85 / $717.15	Professional		$355.25	$458.85	$717.15
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 $232.94 / $300.87 / $470.25	Professional	TC	$232.94	$300.87	$470.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.43 / $494.42 / $1,515.48	Professional		$258.43	$494.42	$1,515.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $88.78 / $160.88 / $521.79	Professional	26	$88.78	$160.88	$521.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $172.53 / $327.68 / $993.68	Professional	TC	$172.53	$327.68	$993.68
United Facility/Professional Professional Modifier Low / Median / High Price $252.99 / $461.44 / $842.27	Professional		$252.99	$461.44	$842.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.23 / $147.69 / $270.67	Professional	26	$87.23	$147.69	$270.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.55 / $328.42 / $523.71	Professional	TC	$167.55	$328.42	$523.71