Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.85 / $709.48 / $709.48	Professional		$156.85	$709.48	$709.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.14 / $257.12 / $257.12	Professional	26	$59.14	$257.12	$257.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.52 / $452.37 / $452.37	Professional	TC	$100.52	$452.37	$452.37
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $38.58 / $38.58 / $38.58	Facility	26	$38.58	$38.58	$38.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.22 / $294.47 / $421.14	Professional		$196.22	$294.47	$421.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.54 / $109.10 / $156.02	Professional	26	$74.54	$109.10	$156.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.67 / $198.34 / $265.12	Professional	TC	$121.67	$198.34	$265.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.34 / $156.47 / $376.41	Facility	26	$110.34	$156.47	$376.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.04 / $232.67 / $470.35	Professional		$185.04	$232.67	$470.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.69 / $86.37 / $144.57	Professional	26	$68.69	$86.37	$144.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.35 / $146.31 / $345.56	Professional	TC	$116.35	$146.31	$345.56
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $86.88 / $143.05 / $296.39	Facility	26	$86.88	$143.05	$296.39
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $183.21 / $216.85 / $404.14	Professional		$183.21	$216.85	$404.14
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $68.01 / $78.14 / $124.93	Professional	26	$68.01	$78.14	$124.93
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $115.20 / $136.36 / $326.00	Professional	TC	$115.20	$136.36	$326.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $280.04 / $526.48	Professional		$149.41	$280.04	$526.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.43 / $102.52 / $237.85	Professional	26	$55.43	$102.52	$237.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $93.98 / $150.30 / $308.37	Professional	TC	$93.98	$150.30	$308.37
United Facility/Professional Professional Modifier Low / Median / High Price $136.96 / $224.45 / $417.11	Professional		$136.96	$224.45	$417.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.54 / $83.02 / $163.22	Professional	26	$48.54	$83.02	$163.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.15 / $144.47 / $279.30	Professional	TC	$86.15	$144.47	$279.30