Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.18 / $35.18 / $35.18	Facility	26	$35.18	$35.18	$35.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.02 / $320.17 / $534.14	Professional		$261.02	$320.17	$534.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.39 / $41.24 / $168.07	Professional	26	$30.39	$41.24	$168.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $224.45 / $284.99 / $481.78	Professional	TC	$224.45	$284.99	$481.78
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $28.80 / $28.80 / $28.80	Facility	26	$28.80	$28.80	$28.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.83 / $727.59 / $1,044.06	Professional		$476.83	$727.59	$1,044.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.46 / $84.20 / $120.83	Professional	26	$56.46	$84.20	$120.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $420.38 / $690.67 / $923.23	Professional	TC	$420.38	$690.67	$923.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.07 / $120.64 / $290.20	Facility	26	$85.07	$120.64	$290.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.12 / $569.76 / $870.86	Professional		$453.12	$569.76	$870.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.77 / $65.09 / $99.50	Professional	26	$51.77	$65.09	$99.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $401.35 / $504.66 / $771.36	Professional	TC	$401.35	$504.66	$771.36
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $66.98 / $110.29 / $228.51	Facility	26	$66.98	$110.29	$228.51
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $448.63 / $448.63 / $813.72	Professional		$448.63	$448.63	$813.72
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $51.26 / $51.26 / $92.97	Professional	26	$51.26	$51.26	$92.97
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $397.37 / $397.37 / $720.75	Professional	TC	$397.37	$397.37	$720.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $372.37 / $622.90 / $1,127.03	Professional		$372.37	$622.90	$1,127.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.18 / $66.31 / $123.75	Professional	26	$40.18	$66.31	$123.75
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $326.95 / $555.39 / $1,003.28	Professional	TC	$326.95	$555.39	$1,003.28
United Facility/Professional Professional Modifier Low / Median / High Price $338.52 / $612.66 / $1,032.08	Professional		$338.52	$612.66	$1,032.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.17 / $63.93 / $113.32	Professional	26	$37.17	$63.93	$113.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $314.36 / $537.61 / $973.06	Professional	TC	$314.36	$537.61	$973.06