Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $338.84	Professional		$125.89	$154.88	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $48.98 / $154.88	Professional	26	$39.81	$48.98	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $107.15 / $186.21	Professional	TC	$83.18	$107.15	$186.21
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $37.15 / $37.15	Facility	26	$32.36	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $489.78	Professional		$199.53	$323.59	$489.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $102.33 / $154.88	Professional	26	$63.10	$102.33	$154.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $234.42 / $331.13	Professional	TC	$138.04	$234.42	$331.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $138.04 / $380.19	Facility	26	$34.67	$138.04	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $346.74 / $588.84	Professional		$169.82	$346.74	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $109.65 / $181.97	Professional	26	$50.12	$109.65	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $239.88 / $407.38	Professional	TC	$117.49	$239.88	$407.38
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $151.36 / $295.12	Facility	26	$123.03	$151.36	$295.12
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $562.34	Professional		$239.88	$346.74	$562.34
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $107.15 / $173.78	Professional	26	$74.13	$107.15	$173.78
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $239.88 / $380.19	Professional	TC	$162.18	$239.88	$380.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $1,096.48	Professional		$144.54	$263.03	$1,096.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $85.11 / $446.68	Professional	26	$45.71	$85.11	$446.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $177.83 / $870.96	Professional	TC	$97.72	$177.83	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $446.68	Professional		$144.54	$245.47	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $79.43 / $138.04	Professional	26	$45.71	$79.43	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $165.96 / $309.03	Professional	TC	$97.72	$165.96	$309.03