Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.56 / $70.56 / $70.56	Facility	26	$70.56	$70.56	$70.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.58 / $152.49 / $306.35	Professional		$137.58	$152.49	$306.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.88 / $70.56 / $386.40	Professional	26	$51.88	$70.56	$386.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.44 / $97.59 / $192.00	Professional	TC	$68.44	$97.59	$192.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $57.88 / $57.88 / $57.88	Facility	26	$57.88	$57.88	$57.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.12 / $403.33 / $489.18	Professional		$220.12	$403.33	$489.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.96 / $198.28 / $240.49	Professional	26	$119.96	$198.28	$240.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.84 / $205.05 / $248.70	Professional	TC	$117.84	$205.05	$248.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.06 / $238.89 / $574.67	Facility	26	$153.06	$238.89	$574.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.81 / $250.40 / $517.49	Professional		$190.81	$250.40	$517.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.58 / $129.55 / $226.49	Professional	26	$74.58	$129.55	$226.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.70 / $120.58 / $350.00	Professional	TC	$89.70	$120.58	$350.00
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $132.63 / $210.62 / $452.50	Facility	26	$132.63	$210.62	$452.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $190.82 / $249.96 / $545.20	Professional		$190.82	$249.96	$545.20
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $102.01 / $127.51 / $205.92	Professional	26	$102.01	$127.51	$205.92
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $88.81 / $116.34 / $350.00	Professional	TC	$88.81	$116.34	$350.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.74 / $280.20 / $1,406.40	Professional		$153.74	$280.20	$1,406.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.48 / $142.51 / $439.49	Professional	26	$71.48	$142.51	$439.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.95 / $149.19 / $1,140.03	Professional	TC	$77.95	$149.19	$1,140.03
United Facility/Professional Professional Modifier Low / Median / High Price $153.74 / $280.20 / $510.38	Professional		$153.74	$280.20	$510.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.75 / $114.72 / $252.33	Professional	26	$64.75	$114.72	$252.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.95 / $139.94 / $263.10	Professional	TC	$77.95	$139.94	$263.10