Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.51 / $48.51 / $72.76	Facility	26	$48.51	$48.51	$72.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $329.43 / $654.05	Professional		$267.32	$329.43	$654.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.74 / $50.69 / $241.00	Professional	26	$42.74	$50.69	$241.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.67 / $278.72 / $495.22	Professional	TC	$220.67	$278.72	$495.22
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $39.72 / $39.72 / $39.72	Facility	26	$39.72	$39.72	$39.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.71 / $775.45 / $1,114.45	Professional		$509.71	$775.45	$1,114.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.28 / $115.27 / $165.41	Professional	26	$77.28	$115.27	$165.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $432.43 / $709.98 / $949.04	Professional	TC	$432.43	$709.98	$949.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.07 / $166.03 / $399.40	Facility	26	$117.07	$166.03	$399.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.87 / $608.42 / $929.97	Professional		$483.87	$608.42	$929.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.25 / $89.59 / $136.93	Professional	26	$71.25	$89.59	$136.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $412.62 / $518.84 / $793.04	Professional	TC	$412.62	$518.84	$793.04
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $92.18 / $151.79 / $314.49	Facility	26	$92.18	$151.79	$314.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $479.08 / $479.08 / $868.95	Professional		$479.08	$479.08	$868.95
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.54 / $70.54 / $127.95	Professional	26	$70.54	$70.54	$127.95
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $408.54 / $408.54 / $741.00	Professional	TC	$408.54	$408.54	$741.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $381.33 / $650.53 / $1,275.45	Professional		$381.33	$650.53	$1,275.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.39 / $92.07 / $180.85	Professional	26	$55.39	$92.07	$180.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $320.22 / $561.10 / $1,091.40	Professional	TC	$320.22	$561.10	$1,091.40
United Facility/Professional Professional Modifier Low / Median / High Price $357.65 / $622.61 / $1,090.40	Professional		$357.65	$622.61	$1,090.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.39 / $88.40 / $157.35	Professional	26	$55.39	$88.40	$157.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $306.04 / $550.87 / $933.92	Professional	TC	$306.04	$550.87	$933.92