Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $81.28	Facility	26	$77.62	$77.62	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $724.44	Professional		$190.55	$281.84	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $204.17	Professional	26	$64.57	$104.71	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $173.78 / $371.54	Professional	TC	$125.89	$173.78	$371.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $63.10 / $63.10	Facility	26	$54.95	$63.10	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $794.33	Professional		$363.08	$537.03	$794.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $181.97 / $269.15	Professional	26	$123.03	$181.97	$269.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $371.54 / $524.81	Professional	TC	$239.88	$371.54	$524.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $239.88 / $660.69	Facility	26	$61.66	$239.88	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $831.76	Professional		$269.15	$436.52	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $141.25 / $234.42	Professional	26	$83.18	$141.25	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $288.40 / $562.34	Professional	TC	$181.97	$288.40	$562.34
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $263.03 / $512.86	Facility	26	$213.80	$263.03	$512.86
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $562.34	Professional		$338.84	$338.84	$562.34
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $177.83	Professional	26	$112.20	$112.20	$177.83
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $229.09 / $380.19	Professional	TC	$229.09	$229.09	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $707.95 / $1,479.11	Professional		$257.04	$707.95	$1,479.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $138.04 / $478.63	Professional	26	$75.86	$138.04	$478.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $512.86 / $1,000.00	Professional	TC	$173.78	$512.86	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $616.60 / $1,096.48	Professional		$257.04	$616.60	$1,096.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $138.04 / $245.47	Professional	26	$81.28	$138.04	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $426.58 / $933.25	Professional	TC	$173.78	$426.58	$933.25