Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.16 / $48.16 / $72.23	Facility	26	$48.16	$48.16	$72.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $170.67 / $701.00	Professional		$138.03	$170.67	$701.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.95 / $48.84 / $157.50	Professional	26	$41.95	$48.84	$157.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.64 / $120.35 / $412.07	Professional	TC	$95.64	$120.35	$412.07
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $39.45 / $39.45 / $39.45	Facility	26	$39.45	$39.45	$39.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $460.40 / $558.40	Professional		$276.61	$460.40	$558.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.52 / $135.41 / $164.23	Professional	26	$81.52	$135.41	$164.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.23 / $324.98 / $394.16	Professional	TC	$224.23	$324.98	$394.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.61 / $164.83 / $396.53	Facility	26	$105.61	$164.83	$396.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.07 / $309.37 / $512.09	Professional		$191.07	$309.37	$512.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.40 / $88.94 / $147.22	Professional	26	$52.40	$88.94	$147.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.44 / $220.43 / $364.87	Professional	TC	$136.44	$220.43	$364.87
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $91.52 / $145.33 / $312.23	Facility	26	$91.52	$145.33	$312.23
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $243.60 / $288.33 / $491.76	Professional		$243.60	$288.33	$491.76
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.04 / $82.90 / $141.38	Professional	26	$70.04	$82.90	$141.38
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $173.57 / $205.44 / $350.38	Professional	TC	$173.57	$205.44	$350.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $188.83 / $352.83 / $749.70	Professional		$188.83	$352.83	$749.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.92 / $103.81 / $251.88	Professional	26	$55.92	$103.81	$251.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $127.00 / $222.07 / $650.99	Professional	TC	$127.00	$222.07	$650.99
United Facility/Professional Professional Modifier Low / Median / High Price $171.79 / $315.27 / $523.75	Professional		$171.79	$315.27	$523.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $82.09 / $148.11	Professional	26	$51.25	$82.09	$148.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.54 / $209.73 / $348.36	Professional	TC	$120.54	$209.73	$348.36