Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.88 / $95.88 / $95.88	Facility	26	$95.88	$95.88	$95.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.16 / $152.31 / $301.54	Professional		$122.16	$152.31	$301.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.74 / $56.42 / $103.18	Professional	TC	$42.74	$56.42	$103.18
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $78.03 / $78.03 / $78.03	Facility	26	$78.03	$78.03	$78.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.96 / $357.63 / $511.47	Professional		$238.96	$357.63	$511.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.24 / $141.29 / $188.87	Professional	TC	$88.24	$141.29	$188.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $229.10 / $324.89 / $781.56	Facility	26	$229.10	$324.89	$781.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.48 / $281.01 / $464.55	Professional		$223.48	$281.01	$464.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.55 / $105.06 / $173.67	Professional	TC	$83.55	$105.06	$173.67
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $180.39 / $297.02 / $615.40	Facility	26	$180.39	$297.02	$615.40
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $221.27 / $221.27 / $406.48	Professional		$221.27	$221.27	$406.48
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $82.72 / $83.23 / $151.96	Professional	TC	$82.72	$83.23	$151.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.16 / $278.20 / $540.71	Professional		$174.16	$278.20	$540.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $62.36 / $95.29 / $186.29	Professional	TC	$62.36	$95.29	$186.29
United Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $277.66 / $465.43	Professional		$160.41	$277.66	$465.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.94 / $93.77 / $170.95	Professional	TC	$57.94	$93.77	$170.95