Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.53 / $48.53 / $72.79	Facility	26	$48.53	$48.53	$72.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $155.36 / $665.00	Professional		$118.93	$155.36	$665.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.55 / $53.33 / $244.15	Professional	26	$42.55	$53.33	$244.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.45 / $94.48 / $364.01	Professional	TC	$74.45	$94.48	$364.01
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $40.35 / $40.35 / $40.35	Facility	26	$40.35	$40.35	$40.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.10 / $357.18 / $477.45	Professional		$234.10	$357.18	$477.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.11 / $122.86 / $164.23	Professional	26	$82.11	$122.86	$164.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.13 / $248.26 / $313.22	Professional	TC	$163.13	$248.26	$313.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.61 / $164.83 / $396.53	Facility	26	$105.61	$164.83	$396.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $261.02 / $431.52	Professional		$171.16	$261.02	$431.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.60 / $89.59 / $148.10	Professional	26	$59.60	$89.59	$148.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.02 / $171.44 / $283.42	Professional	TC	$112.02	$171.44	$283.42
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $91.52 / $150.41 / $312.23	Facility	26	$91.52	$150.41	$312.23
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $205.54 / $205.54 / $386.78	Professional		$205.54	$205.54	$386.78
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.54 / $70.54 / $132.75	Professional	26	$70.54	$70.54	$132.75
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $135.00 / $135.00 / $254.03	Professional	TC	$135.00	$135.00	$254.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.45 / $213.45 / $213.45	Facility	26	$213.45	$213.45	$213.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $341.81 / $699.62	Professional		$160.63	$341.81	$699.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.92 / $105.25 / $262.19	Professional	26	$55.92	$105.25	$262.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.63 / $181.05 / $574.48	Professional	TC	$97.63	$181.05	$574.48
United Facility/Professional Professional Modifier Low / Median / High Price $142.55 / $254.31 / $456.20	Professional		$142.55	$254.31	$456.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.89 / $89.50 / $169.43	Professional	26	$50.89	$89.50	$169.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.66 / $168.37 / $296.39	Professional	TC	$91.66	$168.37	$296.39