Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.47 / $39.47 / $39.47	Facility	26	$39.47	$39.47	$39.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $243.53 / $310.48	Professional		$209.50	$243.53	$310.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $45.23 / $131.35	Professional	26	$27.07	$45.23	$131.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.01 / $211.32 / $772.00	Professional	TC	$174.01	$211.32	$772.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.12 / $682.06 / $1,050.88	Professional		$439.12	$682.06	$1,050.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.51 / $96.42 / $148.56	Professional	26	$63.51	$96.42	$148.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $342.64 / $618.14 / $902.32	Professional	TC	$342.64	$618.14	$902.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.53 / $292.58 / $350.55	Facility	26	$67.53	$292.58	$350.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.65 / $461.04 / $583.92	Professional		$366.65	$461.04	$583.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.26 / $66.97 / $84.82	Professional	26	$53.26	$66.97	$84.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $313.39 / $394.07 / $499.11	Professional	TC	$313.39	$394.07	$499.11
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $53.17 / $276.02 / $276.02	Facility	26	$53.17	$276.02	$276.02
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $363.02 / $363.02 / $519.38	Professional		$363.02	$363.02	$519.38
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $52.73 / $52.73 / $75.44	Professional	26	$52.73	$52.73	$75.44
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $310.29 / $310.29 / $443.93	Professional	TC	$310.29	$310.29	$443.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $183.18 / $183.18 / $183.18	Facility	26	$183.18	$183.18	$183.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.24 / $625.84 / $1,414.06	Professional		$274.24	$625.84	$1,414.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.69 / $82.84 / $187.55	Professional	26	$36.69	$82.84	$187.55
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $237.55 / $543.00 / $1,226.51	Professional	TC	$237.55	$543.00	$1,226.51
United Facility/Professional Professional Modifier Low / Median / High Price $278.14 / $617.58 / $914.71	Professional		$278.14	$617.58	$914.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.82 / $81.73 / $133.94	Professional	26	$36.82	$81.73	$133.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $241.33 / $588.04 / $793.39	Professional	TC	$241.33	$588.04	$793.39