Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.54 / $35.54 / $35.54	Facility	26	$35.54	$35.54	$35.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $108.92 / $184.55	Professional		$85.01	$108.92	$184.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.35 / $35.54 / $60.06	Professional	26	$29.35	$35.54	$60.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $198.32 / $633.00 / $783.34	Professional	50	$198.32	$633.00	$783.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.49 / $71.23 / $116.77	Professional	TC	$56.49	$71.23	$116.77
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $29.08 / $29.08 / $29.08	Facility	26	$29.08	$29.08	$29.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $270.30 / $361.31	Professional		$178.19	$270.30	$361.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.56 / $90.39 / $120.83	Professional	26	$60.56	$90.39	$120.83
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $267.29 / $405.45 / $541.97	Professional	50	$267.29	$405.45	$541.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.25 / $190.61 / $240.49	Professional	TC	$125.25	$190.61	$240.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.30 / $120.64 / $290.20	Facility	26	$77.30	$120.64	$290.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.09 / $198.51 / $328.17	Professional		$130.09	$198.51	$328.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.15 / $65.73 / $108.68	Professional	26	$44.15	$65.73	$108.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.05 / $132.77 / $217.65	Professional	TC	$85.05	$132.77	$217.65
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $66.98 / $110.09 / $228.51	Facility	26	$66.98	$110.09	$228.51
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $156.31 / $156.31 / $303.41	Professional		$156.31	$156.31	$303.41
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $51.77 / $51.77 / $97.41	Professional	26	$51.77	$51.77	$97.41
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $104.55 / $104.55 / $196.73	Professional	TC	$104.55	$104.55	$196.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $157.44 / $157.44 / $157.44	Facility	26	$157.44	$157.44	$157.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $197.24 / $535.65	Professional		$108.99	$197.24	$535.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.17 / $67.51 / $179.75	Professional	26	$37.17	$67.51	$179.75
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $300.06 / $354.00 / $464.21	Professional	50	$300.06	$354.00	$464.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $71.81 / $131.49 / $355.90	Professional	TC	$71.81	$131.49	$355.90
United Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $194.44 / $362.86	Professional		$108.99	$194.44	$362.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.17 / $66.31 / $130.78	Professional	26	$37.17	$66.31	$130.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.81 / $129.78 / $256.12	Professional	TC	$71.81	$129.78	$256.12