Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.24 / $90.24 / $90.24	Facility	26	$90.24	$90.24	$90.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.71 / $197.02 / $299.29	Professional		$141.71	$197.02	$299.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $80.34 / $145.28	Professional	26	$56.82	$80.34	$145.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.36 / $90.04 / $232.83	Professional	TC	$61.36	$90.04	$232.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $74.29 / $74.29 / $74.29	Facility	26	$74.29	$74.29	$74.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.58 / $472.00 / $572.47	Professional		$283.58	$472.00	$572.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $158.97 / $263.08 / $319.08	Professional	26	$158.97	$263.08	$319.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.15 / $208.92 / $253.39	Professional	TC	$144.15	$208.92	$253.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.95 / $301.45 / $741.33	Facility	26	$177.95	$301.45	$741.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.70 / $307.44 / $576.27	Professional		$230.70	$307.44	$576.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.18 / $166.93 / $275.95	Professional	26	$80.18	$166.93	$275.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.64 / $140.51 / $308.18	Professional	TC	$110.64	$140.51	$308.18
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $158.46 / $271.70 / $583.73	Facility	26	$158.46	$271.70	$583.73
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $242.08 / $286.52 / $488.69	Professional		$242.08	$286.52	$488.69
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $131.44 / $155.58 / $265.35	Professional	26	$131.44	$155.58	$265.35
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $110.64 / $130.94 / $223.34	Professional	TC	$110.64	$130.94	$223.34
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $413.29 / $413.29 / $413.29	Facility	26	$413.29	$413.29	$413.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $349.43 / $3,140.08	Professional		$196.11	$349.43	$3,140.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.20 / $129.94 / $681.88	Professional	26	$81.20	$129.94	$681.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $87.43 / $200.11 / $2,808.09	Professional	TC	$87.43	$200.11	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $189.13 / $333.10 / $604.22	Professional		$189.13	$333.10	$604.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.45 / $118.68 / $299.92	Professional	26	$80.45	$118.68	$299.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.48 / $185.00 / $283.00	Professional	TC	$80.48	$185.00	$283.00