Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $50.12 / $53.70	Facility	26	$50.12	$50.12	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $630.96	Professional		$234.42	$316.23	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $54.95 / $263.03	Professional	26	$38.90	$54.95	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $263.03 / $524.81	Professional	TC	$194.98	$263.03	$524.81
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $41.69 / $41.69	Facility	26	$36.31	$41.69	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $1,047.13	Professional		$489.78	$676.08	$1,047.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $112.20 / $173.78	Professional	26	$81.28	$112.20	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $588.84 / $870.96	Professional	TC	$407.38	$588.84	$870.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $181.97 / $436.52	Facility	26	$128.82	$181.97	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $912.01	Professional		$457.09	$575.44	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $93.33 / $144.54	Professional	26	$74.13	$93.33	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $489.78 / $758.58	Professional	TC	$389.05	$489.78	$758.58
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $173.78 / $346.74	Facility	26	$141.25	$173.78	$346.74
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $707.95	Professional		$457.09	$457.09	$707.95
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $74.13 / $114.82	Professional	26	$74.13	$74.13	$114.82
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $380.19 / $602.56	Professional	TC	$380.19	$380.19	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $616.60 / $1,148.15	Professional		$346.74	$616.60	$1,148.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $95.50 / $288.40	Professional	26	$53.70	$95.50	$288.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $524.81 / $977.24	Professional	TC	$288.40	$524.81	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $1,023.29	Professional		$346.74	$630.96	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $97.72 / $162.18	Professional	26	$54.95	$97.72	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $537.03 / $870.96	Professional	TC	$288.40	$537.03	$870.96