Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.28 / $74.28 / $74.28	Facility	26	$74.28	$74.28	$74.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $223.15 / $938.00	Professional		$174.45	$223.15	$938.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.98 / $80.40 / $321.30	Professional	26	$64.98	$80.40	$321.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.55 / $142.30 / $216.62	Professional	TC	$106.55	$142.30	$216.62
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $57.29 / $57.29 / $57.29	Facility	26	$57.29	$57.29	$57.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.81 / $487.95 / $652.24	Professional		$283.81	$487.95	$652.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.81 / $178.43 / $236.97	Professional	26	$104.81	$178.43	$236.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $205.46 / $336.12 / $431.07	Professional	TC	$205.46	$336.12	$431.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.06 / $238.89 / $574.67	Facility	26	$153.06	$238.89	$574.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.65 / $510.93 / $795.62	Professional		$249.65	$510.93	$795.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.74 / $184.79 / $287.75	Professional	26	$92.74	$184.79	$287.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.96 / $326.14 / $507.87	Professional	TC	$152.96	$326.14	$507.87
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $132.63 / $210.62 / $452.50	Facility	26	$132.63	$210.62	$452.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $313.22 / $503.79 / $718.90	Professional		$313.22	$503.79	$718.90
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $113.28 / $179.82 / $260.00	Professional	26	$113.28	$179.82	$260.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $199.94 / $321.87 / $458.90	Professional	TC	$199.94	$321.87	$458.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $557.91 / $557.91 / $557.91	Facility	26	$557.91	$557.91	$557.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.63 / $434.66 / $1,677.02	Professional		$212.63	$434.66	$1,677.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $78.77 / $143.36 / $718.23	Professional	26	$78.77	$143.36	$718.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $129.94 / $289.30 / $985.97	Professional	TC	$129.94	$289.30	$985.97
United Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $402.86 / $677.76	Professional		$198.66	$402.86	$677.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.28 / $136.29 / $239.49	Professional	26	$76.28	$136.29	$239.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $121.37 / $264.45 / $404.40	Professional	TC	$121.37	$264.45	$404.40