Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	26	$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $549.54	Professional		$177.83	$223.87	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $52.48 / $138.04	Professional	26	$42.66	$52.48	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $169.82 / $316.23	Professional	TC	$131.83	$169.82	$316.23
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $43.65 / $43.65	Facility	26	$37.15	$43.65	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $724.44	Professional		$331.13	$489.78	$724.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $186.21	Professional	26	$85.11	$125.89	$186.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $380.19 / $537.03	Professional	TC	$245.47	$380.19	$537.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $165.96 / $457.09	Facility	26	$42.66	$165.96	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $741.31	Professional		$245.47	$398.11	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $97.72 / $162.18	Professional	26	$57.54	$97.72	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $295.12 / $575.44	Professional	TC	$186.21	$295.12	$575.44
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $181.97 / $363.08	Facility	26	$147.91	$181.97	$363.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $512.86	Professional		$309.03	$309.03	$512.86
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $77.62 / $123.03	Professional	26	$77.62	$77.62	$123.03
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $234.42 / $389.05	Professional	TC	$234.42	$234.42	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $436.52 / $1,412.54	Professional		$229.09	$436.52	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $97.72 / $331.13	Professional	26	$53.70	$97.72	$331.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $302.00 / $1,047.13	Professional	TC	$165.96	$302.00	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $691.83	Professional		$229.09	$389.05	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $93.33 / $169.82	Professional	26	$53.70	$93.33	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $295.12 / $524.81	Professional	TC	$177.83	$295.12	$524.81