Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.25 / $36.94 / $62.42	Facility	26	$34.25	$36.94	$62.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $138.19 / $485.45	Professional		$105.82	$138.19	$485.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.54 / $38.40 / $133.00	Professional	26	$32.54	$38.40	$133.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $40.43 / $78.08 / $580.79	Professional	52	$40.43	$78.08	$580.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.29 / $98.28 / $257.20	Professional	TC	$79.29	$98.28	$257.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.23 / $30.23 / $30.23	Facility	26	$30.23	$30.23	$30.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.20 / $371.41 / $450.47	Professional		$224.20	$371.41	$450.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $103.49 / $125.52	Professional	26	$62.89	$103.49	$125.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.12 / $267.92 / $324.95	Professional	TC	$186.12	$267.92	$324.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.36 / $125.42 / $301.70	Facility	26	$80.36	$125.42	$301.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $250.72 / $415.01	Professional		$154.16	$250.72	$415.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.31 / $68.31 / $113.09	Professional	26	$41.31	$68.31	$113.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.73 / $182.40 / $301.92	Professional	TC	$112.73	$182.40	$301.92
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $69.64 / $114.45 / $237.56	Facility	26	$69.64	$114.45	$237.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $197.42 / $229.00 / $387.00	Professional		$197.42	$229.00	$387.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $53.80 / $62.40 / $106.00	Professional	26	$53.80	$62.40	$106.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $143.62 / $166.60 / $281.00	Professional	TC	$143.62	$166.60	$281.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $351.19 / $488.17	Professional		$152.60	$351.19	$488.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.21 / $90.20 / $192.11	Professional	26	$47.21	$90.20	$192.11
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $171.98 / $204.41 / $346.66	Professional	52	$171.98	$204.41	$346.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $109.97 / $185.24 / $534.95	Professional	TC	$109.97	$185.24	$534.95
United Facility/Professional Professional Modifier Low / Median / High Price $139.31 / $232.75 / $419.82	Professional		$139.31	$232.75	$419.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.34 / $65.09 / $119.94	Professional	26	$39.34	$65.09	$119.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.97 / $162.96 / $297.26	Professional	TC	$99.97	$162.96	$297.26