Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $47.86 / $72.44	Facility	26	$46.77	$47.86	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $660.69	Professional		$120.23	$234.42	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $95.50 / $245.47	Professional	26	$41.69	$95.50	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $104.71 / $338.84	Professional	TC	$72.44	$104.71	$338.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $41.69 / $41.69	Facility	26	$36.31	$41.69	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $478.63	Professional		$218.78	$316.23	$478.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $112.20 / $169.82	Professional	26	$77.62	$112.20	$169.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $218.78 / $316.23	Professional	TC	$144.54	$218.78	$316.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $151.36 / $416.87	Facility	26	$38.90	$151.36	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $407.38	Professional		$147.91	$257.04	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $89.13 / $141.25	Professional	26	$51.29	$89.13	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $169.82 / $269.15	Professional	TC	$95.50	$169.82	$269.15
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $165.96 / $323.59	Facility	26	$134.90	$165.96	$323.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $323.59	Professional		$204.17	$204.17	$323.59
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $70.79 / $109.65	Professional	26	$70.79	$70.79	$109.65
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $134.90 / $208.93	Professional	TC	$134.90	$134.90	$208.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $363.08 / $724.44	Professional		$141.25	$363.08	$724.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $114.82 / $295.12	Professional	26	$51.29	$114.82	$295.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $181.97 / $575.44	Professional	TC	$91.20	$181.97	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $407.38	Professional		$141.25	$239.88	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $85.11 / $144.54	Professional	26	$50.12	$85.11	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $158.49 / $269.15	Professional	TC	$91.20	$158.49	$269.15