Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $60.26	Facility	26	$39.81	$39.81	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $831.76	Professional		$169.82	$229.09	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $43.65 / $128.82	Professional	26	$34.67	$43.65	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $173.78 / $436.52	Professional	TC	$138.04	$173.78	$436.52
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $31.62 / $31.62	Facility	26	$27.54	$31.62	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $676.08	Professional		$275.42	$457.09	$676.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $89.13 / $134.90	Professional	26	$54.95	$89.13	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $380.19 / $537.03	Professional	TC	$234.42	$380.19	$537.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $117.49 / $323.59	Facility	26	$30.90	$117.49	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $478.63 / $812.83	Professional		$223.87	$478.63	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $93.33 / $154.88	Professional	26	$37.15	$93.33	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $398.11 / $660.69	Professional	TC	$186.21	$398.11	$660.69
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $131.83 / $257.04	Facility	26	$104.71	$131.83	$257.04
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $776.25	Professional		$331.13	$478.63	$776.25
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $93.33 / $147.91	Professional	26	$63.10	$93.33	$147.91
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $389.05 / $616.60	Professional	TC	$269.15	$389.05	$616.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	26	$208.93	$208.93	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $426.58 / $1,584.89	Professional		$204.17	$426.58	$1,584.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $81.28 / $426.58	Professional	26	$38.90	$81.28	$426.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $316.23 / $1,412.54	Professional	TC	$162.18	$316.23	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $645.65	Professional		$204.17	$363.08	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $69.18 / $125.89	Professional	26	$37.15	$69.18	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $302.00 / $512.86	Professional	TC	$162.18	$302.00	$512.86