Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.39 / $77.39 / $77.39	Facility	26	$77.39	$77.39	$77.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.08 / $285.38 / $522.50	Professional		$200.08	$285.38	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.45 / $80.44 / $154.00	Professional	26	$65.45	$80.44	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.91 / $173.41 / $335.00	Professional	TC	$131.91	$173.41	$335.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $63.34 / $63.34 / $63.34	Facility	26	$63.34	$63.34	$63.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.25 / $652.87 / $791.84	Professional		$387.25	$652.87	$791.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.03 / $216.65 / $262.77	Professional	26	$131.03	$216.65	$262.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $300.98 / $436.22 / $529.07	Professional	TC	$300.98	$436.22	$529.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $167.60 / $261.58 / $629.27	Facility	26	$167.60	$261.58	$629.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.45 / $432.48 / $923.50	Professional		$288.45	$432.48	$923.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.24 / $142.44 / $241.89	Professional	26	$89.24	$142.44	$241.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.75 / $290.04 / $619.33	Professional	TC	$197.75	$290.04	$619.33
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $145.24 / $230.63 / $495.49	Facility	26	$145.24	$230.63	$495.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $340.53 / $423.54 / $935.66	Professional		$340.53	$423.54	$935.66
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $112.16 / $137.71 / $226.41	Professional	26	$112.16	$137.71	$226.41
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $228.38 / $284.04 / $763.97	Professional	TC	$228.38	$284.04	$763.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.63 / $738.42 / $1,484.56	Professional		$269.63	$738.42	$1,484.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.92 / $147.31 / $478.82	Professional	26	$81.92	$147.31	$478.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $182.27 / $529.24 / $1,005.68	Professional	TC	$182.27	$529.24	$1,005.68
United Facility/Professional Professional Modifier Low / Median / High Price $255.51 / $630.25 / $1,085.08	Professional		$255.51	$630.25	$1,085.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.47 / $139.13 / $249.76	Professional	26	$80.47	$139.13	$249.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.59 / $456.37 / $912.97	Professional	TC	$173.59	$456.37	$912.97