Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.87 / $64.87 / $64.87	Facility	26	$64.87	$64.87	$64.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $185.72 / $238.19	Professional		$109.53	$185.72	$238.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $58.13 / $108.49	Professional	26	$49.65	$58.13	$108.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.47 / $78.03 / $180.05	Professional	TC	$51.47	$78.03	$180.05
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.27 / $53.27 / $53.27	Facility	26	$53.27	$53.27	$53.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.96 / $366.57 / $444.60	Professional		$218.96	$366.57	$444.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $116.47 / $192.48 / $233.45	Professional	26	$116.47	$192.48	$233.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.13 / $174.10 / $211.16	Professional	TC	$120.13	$174.10	$211.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.58 / $220.97 / $531.57	Facility	26	$141.58	$220.97	$531.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.05 / $235.25 / $474.91	Professional		$177.05	$235.25	$474.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.19 / $119.88 / $200.67	Professional	26	$65.19	$119.88	$200.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.84 / $117.95 / $252.41	Professional	TC	$90.84	$117.95	$252.41
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $122.69 / $201.65 / $418.56	Facility	26	$122.69	$201.65	$418.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $185.24 / $219.26 / $373.94	Professional		$185.24	$219.26	$373.94
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $94.40 / $111.60 / $190.56	Professional	26	$94.40	$111.60	$190.56
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $90.84 / $107.53 / $183.39	Professional	TC	$90.84	$107.53	$183.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $302.75 / $302.75 / $302.75	Facility	26	$302.75	$302.75	$302.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $273.94 / $3,098.01	Professional		$151.16	$273.94	$3,098.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $68.23 / $108.48 / $636.41	Professional	26	$68.23	$108.48	$636.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $75.70 / $149.86 / $2,808.09	Professional	TC	$75.70	$149.86	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $252.79 / $482.51	Professional		$141.47	$252.79	$482.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.00 / $102.93 / $218.96	Professional	26	$63.00	$102.93	$218.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.65 / $139.30 / $236.05	Professional	TC	$69.65	$139.30	$236.05