Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.54 / $40.54 / $40.54	Facility	26	$40.54	$40.54	$40.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.97 / $214.24 / $918.85	Professional		$179.97	$214.24	$918.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.13 / $40.57 / $108.23	Professional	26	$31.13	$40.57	$108.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.28 / $173.69 / $336.02	Professional	TC	$143.28	$173.69	$336.02
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $31.10 / $31.10 / $31.10	Facility	26	$31.10	$31.10	$31.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.58 / $503.49 / $668.67	Professional		$291.58	$503.49	$668.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.11 / $98.93 / $131.38	Professional	26	$58.11	$98.93	$131.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $268.11 / $436.91 / $557.71	Professional	TC	$268.11	$436.91	$557.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.65 / $129.00 / $310.32	Facility	26	$82.65	$129.00	$310.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.15 / $524.79 / $817.20	Professional		$254.15	$524.79	$817.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.42 / $100.71 / $156.82	Professional	26	$41.42	$100.71	$156.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.78 / $424.08 / $660.38	Professional	TC	$216.78	$424.08	$660.38
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $71.63 / $117.72 / $244.35	Facility	26	$71.63	$117.72	$244.35
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $516.36 / $738.40	Professional		$321.72	$516.36	$738.40
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $61.74 / $98.00 / $141.69	Professional	26	$61.74	$98.00	$141.69
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $259.98 / $418.52 / $596.70	Professional	TC	$259.98	$418.52	$596.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $210.00 / $210.00 / $210.00	Facility	26	$210.00	$210.00	$210.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.91 / $423.61 / $1,582.03	Professional		$223.91	$423.61	$1,582.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $83.52 / $422.69	Professional	26	$40.78	$83.52	$422.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $183.57 / $338.56 / $1,414.75	Professional	TC	$183.57	$338.56	$1,414.75
United Facility/Professional Professional Modifier Low / Median / High Price $214.64 / $398.96 / $693.45	Professional		$214.64	$398.96	$693.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $74.88 / $144.61	Professional	26	$40.78	$74.88	$144.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.05 / $330.12 / $601.12	Professional	TC	$179.05	$330.12	$601.12