Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.20 / $39.04 / $58.56	Facility	26	$36.20	$39.04	$58.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.28 / $131.99 / $499.70	Professional		$83.28	$131.99	$499.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.40 / $42.29 / $140.60	Professional	26	$34.40	$42.29	$140.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.98 / $94.37 / $325.74	Professional	TC	$74.98	$94.37	$325.74
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $31.96 / $31.96 / $31.96	Facility	26	$31.96	$31.96	$31.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.54 / $363.68 / $441.09	Professional		$219.54	$363.68	$441.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.39 / $110.26 / $133.72	Professional	26	$66.39	$110.26	$133.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $175.42 / $253.41 / $307.35	Professional	TC	$175.42	$253.41	$307.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.71 / $133.78 / $321.82	Facility	26	$85.71	$133.78	$321.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $244.92 / $405.41	Professional		$150.69	$244.92	$405.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.17 / $72.19 / $119.49	Professional	26	$42.17	$72.19	$119.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.69 / $172.73 / $285.92	Professional	TC	$106.69	$172.73	$285.92
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $74.28 / $117.95 / $253.40	Facility	26	$74.28	$117.95	$253.40
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $192.85 / $228.27 / $378.00	Professional		$192.85	$228.27	$378.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $56.84 / $67.28 / $114.74	Professional	26	$56.84	$67.28	$114.74
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $136.01 / $160.99 / $266.00	Professional	TC	$136.01	$160.99	$266.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $290.64 / $581.87	Professional		$148.69	$290.64	$581.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.05 / $86.28 / $204.24	Professional	26	$46.05	$86.28	$204.24
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $238.88 / $238.88 / $238.88	Professional	52	$238.88	$238.88	$238.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $101.34 / $173.48 / $524.54	Professional	TC	$101.34	$173.48	$524.54
United Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $229.81 / $415.91	Professional		$136.41	$229.81	$415.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.71 / $77.50 / $120.14	Professional	26	$43.71	$77.50	$120.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.56 / $160.75 / $281.14	Professional	TC	$94.56	$160.75	$281.14