Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.30 / $53.30 / $53.30	Facility	26	$53.30	$53.30	$53.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.72 / $216.19 / $363.48	Professional		$175.72	$216.19	$363.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.19 / $53.30 / $84.97	Professional	26	$44.19	$53.30	$84.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.54 / $166.97 / $234.35	Professional	TC	$131.54	$166.97	$234.35
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $43.77 / $43.77 / $43.77	Facility	26	$43.77	$43.77	$43.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.48 / $599.67 / $727.32	Professional		$353.48	$599.67	$727.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.26 / $149.91 / $181.83	Professional	26	$90.26	$149.91	$181.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $309.67 / $449.76 / $545.49	Professional	TC	$309.67	$449.76	$545.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.33 / $181.55 / $436.75	Facility	26	$116.33	$181.55	$436.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.16 / $395.74 / $845.05	Professional		$266.16	$395.74	$845.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.87 / $98.61 / $167.46	Professional	26	$61.87	$98.61	$167.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.76 / $297.13 / $634.47	Professional	TC	$203.76	$297.13	$634.47
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $100.81 / $160.07 / $343.90	Facility	26	$100.81	$160.07	$343.90
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $311.61 / $387.56 / $881.20	Professional		$311.61	$387.56	$881.20
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $77.65 / $95.33 / $156.75	Professional	26	$77.65	$95.33	$156.75
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $233.96 / $290.98 / $763.97	Professional	TC	$233.96	$290.98	$763.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.03 / $434.12 / $1,374.92	Professional		$236.03	$434.12	$1,374.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.02 / $101.73 / $330.16	Professional	26	$57.02	$101.73	$330.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $179.01 / $328.58 / $1,044.76	Professional	TC	$179.01	$328.58	$1,044.76
United Facility/Professional Professional Modifier Low / Median / High Price $217.69 / $401.25 / $759.03	Professional		$217.69	$401.25	$759.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.97 / $99.96 / $189.84	Professional	26	$55.97	$99.96	$189.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.11 / $301.42 / $579.49	Professional	TC	$167.11	$301.42	$579.49