Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.31 / $46.31 / $46.31	Facility	26	$46.31	$46.31	$46.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.37 / $146.91 / $221.12	Professional		$108.37	$146.91	$221.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.68 / $46.31 / $66.90	Professional	26	$38.68	$46.31	$66.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.50 / $94.50 / $131.59	Professional	TC	$68.50	$94.50	$131.59
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.00 / $36.00 / $36.00	Facility	26	$36.00	$36.00	$36.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.89 / $469.96 / $571.29	Professional		$244.89	$469.96	$571.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.86 / $119.93 / $145.46	Professional	26	$64.86	$119.93	$145.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $206.74 / $351.11 / $425.84	Professional	TC	$206.74	$351.11	$425.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.90 / $148.11 / $356.30	Facility	26	$94.90	$148.11	$356.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.02 / $424.28 / $664.17	Professional		$132.02	$424.28	$664.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.37 / $110.64 / $174.01	Professional	26	$45.37	$110.64	$174.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.45 / $312.52 / $497.79	Professional	TC	$86.45	$312.52	$497.79
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $82.24 / $135.16 / $280.55	Facility	26	$82.24	$135.16	$280.55
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $287.27 / $437.66 / $624.00	Professional		$287.27	$437.66	$624.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $74.81 / $111.46 / $162.50	Professional	26	$74.81	$111.46	$162.50
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $212.47 / $323.69 / $461.50	Professional	TC	$212.47	$323.69	$461.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $214.20 / $214.20 / $214.20	Facility	26	$214.20	$214.20	$214.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $180.45 / $834.21	Professional		$105.74	$180.45	$834.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $82.58 / $261.89	Professional	26	$44.03	$82.58	$261.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.71 / $104.62 / $595.82	Professional	TC	$61.71	$104.62	$595.82
United Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $165.93 / $326.74	Professional		$105.74	$165.93	$326.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $75.64 / $132.65	Professional	26	$44.03	$75.64	$132.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.62 / $84.14 / $185.13	Professional	TC	$58.62	$84.14	$185.13