Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.93 / $61.93 / $61.93	Facility	26	$61.93	$61.93	$61.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $262.16 / $2,844.30	Professional		$130.69	$262.16	$2,844.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.37 / $242.08 / $979.20	Professional	26	$57.37	$242.08	$979.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.94 / $83.90 / $210.86	Professional	TC	$54.94	$83.90	$210.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $51.83 / $51.83 / $51.83	Facility	26	$51.83	$51.83	$51.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.27 / $309.24 / $442.26	Professional		$208.27	$309.24	$442.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.75 / $147.65 / $211.16	Professional	26	$99.75	$147.65	$211.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $108.52 / $172.89 / $231.10	Professional	TC	$108.52	$172.89	$231.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $150.77 / $213.80 / $514.33	Facility	26	$150.77	$213.80	$514.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.32 / $246.85 / $408.08	Professional		$196.32	$246.85	$408.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.78 / $116.66 / $192.85	Professional	26	$92.78	$116.66	$192.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.54 / $130.19 / $217.93	Professional	TC	$103.54	$130.19	$217.93
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $118.71 / $195.47 / $404.99	Facility	26	$118.71	$195.47	$404.99
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $194.37 / $205.06 / $357.07	Professional		$194.37	$205.06	$357.07
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $91.86 / $96.91 / $168.75	Professional	26	$91.86	$96.91	$168.75
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $102.52 / $108.15 / $188.32	Professional	TC	$102.52	$108.15	$188.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $294.30 / $1,049.00	Professional		$156.34	$294.30	$1,049.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.36 / $166.75 / $426.87	Professional	26	$75.36	$166.75	$426.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.98 / $134.96 / $257.19	Professional	TC	$80.98	$134.96	$257.19
United Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $253.00 / $417.32	Professional		$151.22	$253.00	$417.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.91 / $113.04 / $209.08	Professional	26	$71.91	$113.04	$209.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.75 / $134.96 / $224.66	Professional	TC	$80.75	$134.96	$224.66