Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.89 / $37.63 / $90.04	Facility	26	$34.89	$37.63	$90.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $311.04 / $1,639.00	Professional		$251.87	$311.04	$1,639.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $49.16 / $186.00	Professional	26	$33.17	$49.16	$186.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $268.31 / $488.29	Professional	TC	$218.71	$268.31	$488.29
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.81 / $30.81 / $30.81	Facility	26	$30.81	$30.81	$30.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.70 / $739.53 / $1,062.83	Professional		$486.70	$739.53	$1,062.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.29 / $89.41 / $127.87	Professional	26	$60.29	$89.41	$127.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $426.41 / $699.45 / $934.96	Professional	TC	$426.41	$699.45	$934.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.12 / $127.80 / $307.45	Facility	26	$90.12	$127.80	$307.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.34 / $581.36 / $888.60	Professional		$462.34	$581.36	$888.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.36 / $69.61 / $106.40	Professional	26	$55.36	$69.61	$106.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $406.98 / $511.75 / $782.20	Professional	TC	$406.98	$511.75	$782.20
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $70.95 / $116.84 / $242.09	Facility	26	$70.95	$116.84	$242.09
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $457.77 / $457.77 / $830.29	Professional		$457.77	$457.77	$830.29
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $54.81 / $54.81 / $99.41	Professional	26	$54.81	$54.81	$99.41
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $402.96 / $402.96 / $730.88	Professional	TC	$402.96	$402.96	$730.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $623.70 / $1,225.24	Professional		$358.00	$623.70	$1,225.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.96 / $72.17 / $139.82	Professional	26	$42.96	$72.17	$139.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $303.87 / $555.36 / $1,083.66	Professional	TC	$303.87	$555.36	$1,083.66
United Facility/Professional Professional Modifier Low / Median / High Price $343.57 / $623.70 / $1,047.48	Professional		$343.57	$623.70	$1,047.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $70.29 / $121.04	Professional	26	$39.70	$70.29	$121.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $303.87 / $539.49 / $926.44	Professional	TC	$303.87	$539.49	$926.44