Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.81 / $277.58 / $1,141.00	Professional		$226.81	$277.58	$1,141.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.34 / $97.12 / $449.35	Professional	26	$79.34	$97.12	$449.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.69 / $170.28 / $279.43	Professional	TC	$137.69	$170.28	$279.43
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $68.81 / $68.81 / $68.81	Facility	26	$68.81	$68.81	$68.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.42 / $610.80 / $816.48	Professional		$348.42	$610.80	$816.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $125.56 / $214.13 / $283.89	Professional	26	$125.56	$214.13	$283.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.50 / $431.08 / $547.57	Professional	TC	$263.50	$431.08	$547.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $183.67 / $286.66 / $689.61	Facility	26	$183.67	$286.66	$689.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.03 / $642.13 / $999.92	Professional		$329.03	$642.13	$999.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.08 / $222.67 / $346.74	Professional	26	$115.08	$222.67	$346.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $195.83 / $419.46 / $653.19	Professional	TC	$195.83	$419.46	$653.19
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $159.16 / $261.60 / $543.00	Facility	26	$159.16	$261.60	$543.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $393.65 / $630.41 / $903.50	Professional		$393.65	$630.41	$903.50
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $136.50 / $216.68 / $313.30	Professional	26	$136.50	$216.68	$313.30
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $257.14 / $413.96 / $590.20	Professional	TC	$257.14	$413.96	$590.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $366.35 / $366.35 / $366.35	Facility	26	$366.35	$366.35	$366.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $510.82 / $1,021.76	Professional		$263.20	$510.82	$1,021.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $94.36 / $171.56 / $520.19	Professional	26	$94.36	$171.56	$520.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $167.12 / $336.69 / $982.86	Professional	TC	$167.12	$336.69	$982.86
United Facility/Professional Professional Modifier Low / Median / High Price $243.48 / $497.02 / $820.70	Professional		$243.48	$497.02	$820.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.85 / $167.27 / $299.58	Professional	26	$89.85	$167.27	$299.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.93 / $316.81 / $530.29	Professional	TC	$151.93	$316.81	$530.29