Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $407.38	Professional		$158.49	$218.78	$407.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $173.78 / $331.13	Professional	TC	$123.03	$173.78	$331.13
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $37.15 / $37.15	Facility	26	$32.36	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $724.44	Professional		$338.84	$467.74	$724.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $389.05 / $575.44	Professional	TC	$263.03	$389.05	$575.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $158.49 / $371.54	Facility	26	$112.20	$158.49	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $630.96	Professional		$316.23	$398.11	$630.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $316.23 / $501.19	Professional	TC	$251.19	$316.23	$501.19
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $151.36 / $295.12	Facility	26	$120.23	$151.36	$295.12
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $489.78	Professional		$316.23	$316.23	$489.78
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $251.19 / $389.05	Professional	TC	$251.19	$251.19	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $831.76	Professional		$229.09	$426.58	$831.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $338.84 / $660.69	Professional	TC	$186.21	$338.84	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $707.95	Professional		$245.47	$426.58	$707.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $346.74 / $562.34	Professional	TC	$194.98	$346.74	$562.34