Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $66.07	Facility	26	$61.66	$61.66	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $707.95	Professional		$204.17	$275.42	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $363.08	Professional	26	$51.29	$67.61	$363.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $194.98 / $512.86	Professional	TC	$144.54	$194.98	$512.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $52.48 / $52.48	Facility	26	$45.71	$52.48	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $776.25	Professional		$354.81	$512.86	$776.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $144.54 / $218.78	Professional	26	$100.00	$144.54	$218.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $380.19 / $562.34	Professional	TC	$257.04	$380.19	$562.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $223.87 / $537.03	Facility	26	$158.49	$223.87	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $741.31	Professional		$338.84	$426.58	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $114.82 / $194.98	Professional	26	$91.20	$114.82	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $309.03 / $549.54	Professional	TC	$245.47	$309.03	$549.54
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $213.80 / $416.87	Facility	26	$169.82	$213.80	$416.87
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $524.81	Professional		$338.84	$338.84	$524.81
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $91.20 / $141.25	Professional	26	$91.20	$91.20	$141.25
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $245.47 / $389.05	Professional	TC	$245.47	$245.47	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $1,288.25	Professional		$263.03	$446.68	$1,288.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $117.49 / $323.59	Professional	26	$64.57	$117.49	$323.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $346.74 / $933.25	Professional	TC	$190.55	$346.74	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $831.76	Professional		$263.03	$467.74	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $117.49 / $218.78	Professional	26	$69.18	$117.49	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $346.74 / $616.60	Professional	TC	$190.55	$346.74	$616.60