Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.34 / $109.34 / $109.34	Facility	26	$109.34	$109.34	$109.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.35 / $179.81 / $705.90	Professional		$143.35	$179.81	$705.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.92 / $146.80 / $546.00	Professional	26	$90.92	$146.80	$546.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $47.73 / $110.68	Professional	TC	$25.88	$47.73	$110.68
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $91.85 / $91.85 / $91.85	Facility	26	$91.85	$91.85	$91.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.15 / $352.54 / $499.74	Professional		$241.15	$352.54	$499.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.03 / $263.30 / $373.05	Professional	26	$177.03	$263.30	$373.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.13 / $94.78 / $126.69	Professional	TC	$64.13	$94.78	$126.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $265.31 / $376.25 / $905.11	Facility	26	$265.31	$376.25	$905.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.02 / $282.95 / $480.50	Professional		$225.02	$282.95	$480.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $164.02 / $206.25 / $340.95	Professional	26	$164.02	$206.25	$340.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.00 / $76.70 / $140.38	Professional	TC	$61.00	$76.70	$140.38
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $208.91 / $343.98 / $712.69	Facility	26	$208.91	$343.98	$712.69
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $222.79 / $235.04 / $409.28	Professional		$222.79	$235.04	$409.28
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $162.40 / $171.33 / $298.33	Professional	26	$162.40	$171.33	$298.33
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $60.39 / $63.71 / $110.94	Professional	TC	$60.39	$63.71	$110.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $273.56 / $742.69	Professional		$164.14	$273.56	$742.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $132.96 / $221.60 / $1,056.82	Professional	26	$132.96	$221.60	$1,056.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $65.83 / $594.05	Professional	TC	$32.47	$65.83	$594.05
United Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $261.99 / $483.16	Professional		$164.14	$261.99	$483.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $127.02 / $201.17 / $368.89	Professional	26	$127.02	$201.17	$368.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.25 / $64.08 / $93.55	Professional	TC	$33.25	$64.08	$93.55