Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $47.86 / $72.44	Facility	26	$45.71	$47.86	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $676.08	Professional		$131.83	$208.93	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $64.57 / $144.54	Professional	26	$42.66	$64.57	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $134.90 / $407.38	Professional	TC	$95.50	$134.90	$407.38
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $39.81 / $39.81	Facility	26	$34.67	$39.81	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $575.44	Professional		$263.03	$380.19	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $112.20 / $169.82	Professional	26	$75.86	$112.20	$169.82
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $512.86 / $512.86 / $512.86	Professional	52	$512.86	$512.86	$512.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $281.84 / $398.11	Professional	TC	$181.97	$281.84	$398.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $151.36 / $416.87	Facility	26	$38.02	$151.36	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $489.78	Professional		$181.97	$302.00	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $87.10 / $141.25	Professional	26	$52.48	$87.10	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $218.78 / $346.74	Professional	TC	$128.82	$218.78	$346.74
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $165.96 / $323.59	Facility	26	$134.90	$165.96	$323.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $398.11	Professional		$245.47	$245.47	$398.11
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $70.79 / $109.65	Professional	26	$70.79	$70.79	$109.65
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $269.15	Professional	TC	$173.78	$173.78	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $446.68 / $758.58	Professional		$190.55	$446.68	$758.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $117.49 / $257.04	Professional	26	$56.23	$117.49	$257.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $218.78 / $724.44	Professional	TC	$120.23	$218.78	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $489.78	Professional		$169.82	$281.84	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $81.28 / $144.54	Professional	26	$51.29	$81.28	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $208.93 / $346.74	Professional	TC	$120.23	$208.93	$346.74