Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $109.69 / $174.97	Professional		$77.42	$109.69	$174.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.09 / $18.93 / $30.81	Professional	26	$15.09	$18.93	$30.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.11 / $90.76 / $141.51	Professional	TC	$60.11	$90.76	$141.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.59 / $342.40 / $415.28	Professional		$191.59	$342.40	$415.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.61 / $55.13 / $66.87	Professional	26	$32.61	$55.13	$66.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $187.03 / $287.26 / $348.41	Professional	TC	$187.03	$287.26	$348.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $215.27 / $356.33	Professional		$94.25	$215.27	$356.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.71 / $35.45 / $59.34	Professional	26	$20.71	$35.45	$59.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.94 / $179.82 / $297.27	Professional	TC	$74.94	$179.82	$297.27
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $169.51 / $200.63 / $342.18	Professional		$169.51	$200.63	$342.18
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $27.91 / $33.04 / $56.35	Professional	26	$27.91	$33.04	$56.35
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $141.59 / $167.60 / $285.83	Professional	TC	$141.59	$167.60	$285.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $163.78 / $751.09	Professional		$94.82	$163.78	$751.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $34.83 / $205.00	Professional	26	$19.48	$34.83	$205.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $79.14 / $130.36 / $630.88	Professional	TC	$79.14	$130.36	$630.88
United Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $159.47 / $336.68	Professional		$97.34	$159.47	$336.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $32.90 / $59.42	Professional	26	$19.48	$32.90	$59.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.78 / $120.33 / $277.26	Professional	TC	$78.78	$120.33	$277.26