Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $524.81	Professional		$173.78	$223.87	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $46.77 / $234.42	Professional	26	$34.67	$46.77	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $177.83 / $316.23	Professional	TC	$125.89	$177.83	$316.23
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $38.90 / $38.90	Facility	26	$33.88	$38.90	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $741.31	Professional		$338.84	$478.63	$741.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $102.33 / $158.49	Professional	26	$74.13	$102.33	$158.49
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 $117.49 / $165.96 / $398.11	Facility	26	$117.49	$165.96	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $630.96	Professional		$323.59	$407.38	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $85.11 / $134.90	Professional	26	$67.61	$85.11	$134.90
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 $128.82 / $158.49 / $316.23	Facility	26	$128.82	$158.49	$316.23
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $501.19	Professional		$316.23	$316.23	$501.19
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $67.61 / $104.71	Professional	26	$67.61	$67.61	$104.71
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 $234.42 / $426.58 / $851.14	Professional		$234.42	$426.58	$851.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $87.10 / $177.83	Professional	26	$48.98	$87.10	$177.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $338.84 / $676.08	Professional	TC	$186.21	$338.84	$676.08
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 26 Low / Median / High Price $51.29 / $89.13 / $151.36	Professional	26	$51.29	$89.13	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $338.84 / $562.34	Professional	TC	$194.98	$338.84	$562.34