Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.17 / $48.17 / $72.25	Facility	26	$48.17	$48.17	$72.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.79 / $146.07 / $650.00	Professional		$103.79	$146.07	$650.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.37 / $53.75 / $212.08	Professional	26	$42.37	$53.75	$212.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.56 / $75.87 / $241.19	Professional	TC	$59.56	$75.87	$241.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $40.04 / $40.04 / $40.04	Facility	26	$40.04	$40.04	$40.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.24 / $308.92 / $412.93	Professional		$203.24	$308.92	$412.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.52 / $121.99 / $163.06	Professional	26	$81.52	$121.99	$163.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $130.13 / $198.05 / $249.87	Professional	TC	$130.13	$198.05	$249.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.85 / $163.63 / $393.65	Facility	26	$104.85	$163.63	$393.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.37 / $226.23 / $373.98	Professional		$154.37	$226.23	$373.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.30 / $88.94 / $147.04	Professional	26	$59.30	$88.94	$147.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.71 / $137.28 / $226.95	Professional	TC	$92.71	$137.28	$226.95
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $90.86 / $149.33 / $309.95	Facility	26	$90.86	$149.33	$309.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $335.21	Professional		$178.13	$178.13	$335.21
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.04 / $70.04 / $131.79	Professional	26	$70.04	$70.04	$131.79
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $108.10 / $108.10 / $203.42	Professional	TC	$108.10	$108.10	$203.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $211.96 / $211.96 / $211.96	Facility	26	$211.96	$211.96	$211.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.60 / $319.47 / $648.00	Professional		$140.60	$319.47	$648.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.87 / $114.12 / $260.24	Professional	26	$59.87	$114.12	$260.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.79 / $144.69 / $470.82	Professional	TC	$80.79	$144.69	$470.82
United Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $224.12 / $443.78	Professional		$124.51	$224.12	$443.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.89 / $90.22 / $159.81	Professional	26	$50.89	$90.22	$159.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.62 / $131.34 / $245.10	Professional	TC	$73.62	$131.34	$245.10