Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $2,137.96	Professional		$117.49	$186.21	$2,137.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $245.47 / $977.24	Professional	26	$57.54	$245.47	$977.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $87.10 / $165.96	Professional	TC	$57.54	$87.10	$165.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $52.48 / $52.48	Facility	26	$45.71	$52.48	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $457.09	Professional		$208.93	$302.00	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $144.54 / $218.78	Professional	26	$100.00	$144.54	$218.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $158.49 / $239.88	Professional	TC	$109.65	$158.49	$239.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $223.87 / $537.03	Facility	26	$158.49	$223.87	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $398.11	Professional		$194.98	$245.47	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $117.49 / $190.55	Professional	26	$93.33	$117.49	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $128.82 / $213.80	Professional	TC	$104.71	$128.82	$213.80
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $218.78 / $426.58	Facility	26	$173.78	$218.78	$426.58
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $302.00	Professional		$194.98	$194.98	$302.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $91.20 / $144.54	Professional	26	$91.20	$91.20	$144.54
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $102.33 / $165.96	Professional	TC	$102.33	$102.33	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $1,047.13	Professional		$154.88	$295.12	$1,047.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $173.78 / $426.58	Professional	26	$75.86	$173.78	$426.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $134.90 / $724.44	Professional	TC	$79.43	$134.90	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $426.58	Professional		$151.36	$251.19	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $114.82 / $204.17	Professional	26	$72.44	$114.82	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $134.90 / $229.09	Professional	TC	$79.43	$134.90	$229.09