Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.76 / $38.76 / $38.76	Facility	26	$38.76	$38.76	$38.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.22 / $285.35 / $1,261.80	Professional		$171.22	$285.35	$1,261.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.35 / $77.39 / $267.89	Professional	26	$30.35	$77.39	$267.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.87 / $246.59 / $415.47	Professional	TC	$140.87	$246.59	$415.47
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 $440.66 / $664.07 / $947.86	Professional		$440.66	$664.07	$947.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.94 / $91.87 / $131.38	Professional	26	$61.94	$91.87	$131.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $378.72 / $607.32 / $816.48	Professional	TC	$378.72	$607.32	$816.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.49 / $132.58 / $318.94	Facility	26	$93.49	$132.58	$318.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.80 / $527.87 / $872.63	Professional		$419.80	$527.87	$872.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.41 / $72.19 / $119.33	Professional	26	$57.41	$72.19	$119.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $362.39 / $455.68 / $753.29	Professional	TC	$362.39	$455.68	$753.29
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $73.62 / $121.21 / $251.14	Facility	26	$73.62	$121.21	$251.14
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $415.64 / $438.49 / $763.55	Professional		$415.64	$438.49	$763.55
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $56.84 / $59.96 / $104.42	Professional	26	$56.84	$59.96	$104.42
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $358.80 / $378.53 / $659.13	Professional	TC	$358.80	$378.53	$659.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $328.17 / $606.19 / $1,303.85	Professional		$328.17	$606.19	$1,303.85
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.34 / $89.08 / $267.89	Professional	26	$46.34	$89.08	$267.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $270.07 / $453.89 / $934.80	Professional	TC	$270.07	$453.89	$934.80
United Facility/Professional Professional Modifier Low / Median / High Price $310.14 / $507.51 / $936.28	Professional		$310.14	$507.51	$936.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.74 / $77.23 / $127.66	Professional	26	$44.74	$77.23	$127.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $270.07 / $452.25 / $811.41	Professional	TC	$270.07	$452.25	$811.41