Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.92 / $56.92 / $136.19	Facility	26	$56.92	$56.92	$136.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.82 / $182.21 / $961.00	Professional		$147.82	$182.21	$961.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.16 / $56.92 / $309.00	Professional	26	$50.16	$56.92	$309.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.21 / $125.30 / $225.86	Professional	TC	$96.21	$125.30	$225.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $46.93 / $46.93 / $46.93	Facility	26	$46.93	$46.93	$46.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $429.20 / $615.88	Professional		$288.83	$429.20	$615.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.98 / $134.88 / $193.56	Professional	26	$90.98	$134.88	$193.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $197.86 / $315.94 / $422.32	Professional	TC	$197.86	$315.94	$422.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $137.29 / $194.69 / $468.36	Facility	26	$137.29	$194.69	$468.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.18 / $342.24 / $523.11	Professional		$272.18	$342.24	$523.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.06 / $105.70 / $161.56	Professional	26	$84.06	$105.70	$161.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.12 / $236.54 / $361.55	Professional	TC	$188.12	$236.54	$361.55
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $108.10 / $178.00 / $368.79	Facility	26	$108.10	$178.00	$368.79
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $269.48 / $269.48 / $488.79	Professional		$269.48	$269.48	$488.79
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $83.23 / $83.23 / $150.96	Professional	26	$83.23	$83.23	$150.96
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $186.25 / $186.25 / $337.82	Professional	TC	$186.25	$186.25	$337.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.33 / $331.09 / $650.21	Professional		$202.33	$331.09	$650.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.42 / $109.39 / $389.70	Professional	26	$65.42	$109.39	$389.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $136.91 / $224.04 / $436.29	Professional	TC	$136.91	$224.04	$436.29
United Facility/Professional Professional Modifier Low / Median / High Price $182.61 / $328.70 / $556.74	Professional		$182.61	$328.70	$556.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $106.72 / $183.75	Professional	26	$60.27	$106.72	$183.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.91 / $218.25 / $372.99	Professional	TC	$136.91	$218.25	$372.99