Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.82 / $39.82 / $39.82	Facility	26	$39.82	$39.82	$39.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.32 / $173.44 / $416.10	Professional		$128.32	$173.44	$416.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.63 / $42.14 / $203.81	Professional	26	$31.63	$42.14	$203.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.01 / $115.98 / $370.24	Professional	TC	$71.01	$115.98	$370.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $46.06 / $46.06 / $46.06	Facility	26	$46.06	$46.06	$46.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.34 / $363.88 / $594.19	Professional		$228.34	$363.88	$594.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.24 / $85.28 / $138.50	Professional	26	$54.24	$85.28	$138.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.01 / $296.01 / $455.70	Professional	TC	$190.01	$296.01	$455.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.30 / $148.11 / $356.30	Facility	26	$88.30	$148.11	$356.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.72 / $293.89 / $340.10	Professional		$233.72	$293.89	$340.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.58 / $67.55 / $77.95	Professional	26	$54.58	$67.55	$77.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $179.14 / $225.26 / $262.14	Professional	TC	$179.14	$225.26	$262.14
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $82.24 / $135.41 / $280.55	Facility	26	$82.24	$135.41	$280.55
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $231.41 / $231.41 / $331.08	Professional		$231.41	$231.41	$331.08
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $54.04 / $54.04 / $77.31	Professional	26	$54.04	$54.04	$77.31
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $177.37 / $177.37 / $253.76	Professional	TC	$177.37	$177.37	$253.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $239.31 / $239.31 / $239.31	Facility	26	$239.31	$239.31	$239.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $202.62 / $747.35	Professional		$110.44	$202.62	$747.35
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.78 / $92.10 / $191.58	Professional	26	$36.78	$92.10	$191.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $82.94 / $152.34 / $479.67	Professional	TC	$82.94	$152.34	$479.67
United Facility/Professional Professional Modifier Low / Median / High Price $109.88 / $184.94 / $483.43	Professional		$109.88	$184.94	$483.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $45.83 / $132.91	Professional	26	$27.50	$45.83	$132.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.94 / $139.41 / $400.86	Professional	TC	$82.94	$139.41	$400.86