Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.35 / $62.35 / $62.35	Facility	26	$62.35	$62.35	$62.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.77 / $286.64 / $534.64	Professional		$215.77	$286.64	$534.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.95 / $62.35 / $134.66	Professional	26	$52.95	$62.35	$134.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.15 / $205.20 / $455.81	Professional	TC	$155.15	$205.20	$455.81
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $51.26 / $51.26 / $51.26	Facility	26	$51.26	$51.26	$51.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.45 / $544.65 / $778.94	Professional		$358.45	$544.65	$778.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.30 / $149.29 / $213.50	Professional	26	$100.30	$149.29	$213.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $258.14 / $423.00 / $565.42	Professional	TC	$258.14	$423.00	$565.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $149.08 / $211.42 / $508.59	Facility	26	$149.08	$211.42	$508.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.81 / $426.03 / $723.49	Professional		$338.81	$426.03	$723.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.75 / $115.37 / $194.71	Professional	26	$91.75	$115.37	$194.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $247.06 / $310.66 / $540.83	Professional	TC	$247.06	$310.66	$540.83
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $117.39 / $193.28 / $400.46	Facility	26	$117.39	$193.28	$400.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $335.46 / $382.42 / $616.25	Professional		$335.46	$382.42	$616.25
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $90.84 / $103.56 / $166.88	Professional	26	$90.84	$103.56	$166.88
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $244.62 / $278.86 / $449.37	Professional	TC	$244.62	$278.86	$449.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $284.52 / $465.41 / $1,087.82	Professional		$284.52	$465.41	$1,087.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.00 / $118.19 / $232.94	Professional	26	$72.00	$118.19	$232.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $206.15 / $343.20 / $890.37	Professional	TC	$206.15	$343.20	$890.37
United Facility/Professional Professional Modifier Low / Median / High Price $265.24 / $470.50 / $847.33	Professional		$265.24	$470.50	$847.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.70 / $130.63 / $217.47	Professional	26	$72.70	$130.63	$217.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.54 / $317.39 / $612.64	Professional	TC	$192.54	$317.39	$612.64