Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.40 / $46.40 / $46.40	Facility	26	$46.40	$46.40	$46.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $228.16 / $1,262.00	Professional		$178.50	$228.16	$1,262.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $46.40 / $269.80	Professional	26	$40.90	$46.40	$269.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.19 / $177.58 / $303.39	Professional	TC	$134.19	$177.58	$303.39
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $38.01 / $38.01 / $38.01	Facility	26	$38.01	$38.01	$38.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.26 / $515.05 / $740.23	Professional		$339.26	$515.05	$740.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.98 / $110.74 / $158.37	Professional	26	$73.98	$110.74	$158.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $265.27 / $435.29 / $581.86	Professional	TC	$265.27	$435.29	$581.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.02 / $158.86 / $382.16	Facility	26	$112.02	$158.86	$382.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.87 / $403.47 / $616.70	Professional		$320.87	$403.47	$616.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.17 / $85.72 / $131.02	Professional	26	$68.17	$85.72	$131.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $252.70 / $317.75 / $485.67	Professional	TC	$252.70	$317.75	$485.67
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $88.21 / $145.24 / $300.91	Facility	26	$88.21	$145.24	$300.91
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $317.70 / $317.70 / $576.23	Professional		$317.70	$317.70	$576.23
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $67.50 / $67.50 / $122.43	Professional	26	$67.50	$67.50	$122.43
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $250.20 / $250.20 / $453.81	Professional	TC	$250.20	$250.20	$453.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $259.02 / $431.27 / $837.84	Professional		$259.02	$431.27	$837.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.00 / $88.20 / $173.10	Professional	26	$53.00	$88.20	$173.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $204.05 / $341.91 / $661.53	Professional	TC	$204.05	$341.91	$661.53
United Facility/Professional Professional Modifier Low / Median / High Price $252.05 / $419.13 / $716.28	Professional		$252.05	$419.13	$716.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.76 / $85.24 / $150.72	Professional	26	$49.76	$85.24	$150.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.12 / $337.55 / $565.54	Professional	TC	$198.12	$337.55	$565.54