Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.91 / $45.91 / $45.91	Facility	26	$45.91	$45.91	$45.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $145.97 / $275.00	Professional		$122.32	$145.97	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.04 / $45.91 / $87.66	Professional	26	$40.04	$45.91	$87.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.72 / $103.82 / $192.00	Professional	TC	$76.72	$103.82	$192.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.43 / $37.43 / $37.43	Facility	26	$37.43	$37.43	$37.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.77 / $388.83 / $471.59	Professional		$231.77	$388.83	$471.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.03 / $129.61 / $157.19	Professional	26	$78.03	$129.61	$157.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $180.07 / $259.20 / $314.39	Professional	TC	$180.07	$259.20	$314.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.25 / $156.47 / $376.41	Facility	26	$100.25	$156.47	$376.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.40 / $258.45 / $522.46	Professional		$185.40	$258.45	$522.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.51 / $85.08 / $146.05	Professional	26	$51.51	$85.08	$146.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $124.78 / $173.38 / $368.08	Professional	TC	$124.78	$173.38	$368.08
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $86.88 / $137.96 / $296.39	Facility	26	$86.88	$137.96	$296.39
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $203.51 / $253.11 / $478.57	Professional		$203.51	$253.11	$478.57
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $66.98 / $82.25 / $135.22	Professional	26	$66.98	$82.25	$135.22
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $136.52 / $169.79 / $364.51	Professional	TC	$136.52	$169.79	$364.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $422.56 / $422.56 / $422.56	Facility	26	$422.56	$422.56	$422.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $269.20 / $1,035.22	Professional		$159.63	$269.20	$1,035.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.44 / $88.99 / $287.12	Professional	26	$49.44	$88.99	$287.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $107.05 / $182.98 / $780.77	Professional	TC	$107.05	$182.98	$780.77
United Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $255.28 / $448.22	Professional		$146.88	$255.28	$448.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.44 / $85.80 / $150.72	Professional	26	$49.44	$85.80	$150.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $177.07 / $324.39	Professional	TC	$97.44	$177.07	$324.39