Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $74.13	Facility	26	$70.79	$70.79	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $501.19	Professional		$131.83	$173.78	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $95.50 / $251.19	Professional	26	$57.54	$95.50	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $95.50 / $234.42	Professional	TC	$66.07	$95.50	$234.42
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $57.54 / $57.54	Facility	26	$50.12	$57.54	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $457.09	Professional		$208.93	$309.03	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $165.96 / $245.47	Professional	26	$112.20	$165.96	$245.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $147.91 / $204.17	Professional	TC	$93.33	$147.91	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $218.78 / $602.56	Facility	26	$56.23	$218.78	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $478.63	Professional		$173.78	$239.88	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $128.82 / $213.80	Professional	26	$64.57	$128.82	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $112.20 / $263.03	Professional	TC	$87.10	$112.20	$263.03
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $239.88 / $467.74	Facility	26	$194.98	$239.88	$467.74
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $389.05	Professional		$190.55	$190.55	$389.05
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $102.33 / $158.49	Professional	26	$102.33	$102.33	$158.49
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $89.13 / $177.83	Professional	TC	$89.13	$89.13	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $1,412.54	Professional		$144.54	$257.04	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $141.25 / $436.52	Professional	26	$64.57	$141.25	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $134.90 / $1,148.15	Professional	TC	$74.13	$134.90	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $446.68	Professional		$144.54	$234.42	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $102.33 / $218.78	Professional	26	$64.57	$102.33	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $128.82 / $251.19	Professional	TC	$75.86	$128.82	$251.19