Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.85 / $32.85 / $32.85	Facility	26	$32.85	$32.85	$32.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $145.97 / $406.00	Professional		$115.16	$145.97	$406.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.21 / $32.85 / $168.21	Professional	26	$27.21	$32.85	$168.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.28 / $107.91 / $156.85	Professional	TC	$84.28	$107.91	$156.85
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.99 / $530.07 / $708.55	Professional		$342.99	$530.07	$708.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.90 / $84.25 / $112.62	Professional	26	$55.90	$84.25	$112.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $305.11 / $472.34 / $595.92	Professional	TC	$305.11	$472.34	$595.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.47 / $114.67 / $275.83	Facility	26	$73.47	$114.67	$275.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.12 / $386.07 / $632.09	Professional		$172.12	$386.07	$632.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.72 / $61.87 / $102.29	Professional	26	$40.72	$61.87	$102.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.24 / $324.20 / $519.29	Professional	TC	$133.24	$324.20	$519.29
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $63.67 / $101.10 / $217.20	Facility	26	$63.67	$101.10	$217.20
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $303.99 / $303.99 / $572.04	Professional		$303.99	$303.99	$572.04
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $48.72 / $48.72 / $91.68	Professional	26	$48.72	$48.72	$91.68
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $255.27 / $255.27 / $480.37	Professional	TC	$255.27	$255.27	$480.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $147.81 / $147.81 / $147.81	Facility	26	$147.81	$147.81	$147.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.79 / $285.23 / $898.89	Professional		$137.79	$285.23	$898.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.49 / $63.41 / $371.50	Professional	26	$35.49	$63.41	$371.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $92.78 / $189.04 / $695.99	Professional	TC	$92.78	$189.04	$695.99
United Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $241.27 / $570.16	Professional		$134.97	$241.27	$570.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.46 / $61.18 / $111.26	Professional	26	$35.46	$61.18	$111.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.53 / $211.52 / $418.12	Professional	TC	$98.53	$211.52	$418.12