Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.72 / $26.72 / $26.72	Facility	26	$26.72	$26.72	$26.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $138.00 / $184.08	Professional		$101.65	$138.00	$184.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.67 / $29.27 / $38.57	Professional	26	$24.67	$29.27	$38.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.04 / $111.87 / $151.91	Professional	TC	$69.04	$111.87	$151.91
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $29.66 / $29.66 / $29.66	Facility	26	$29.66	$29.66	$29.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.60 / $423.10 / $561.91	Professional		$250.60	$423.10	$561.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.17 / $67.88 / $88.89	Professional	26	$47.17	$67.88	$88.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.62 / $381.02 / $489.67	Professional	TC	$224.62	$381.02	$489.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.10 / $86.00 / $206.88	Facility	26	$55.10	$86.00	$206.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.82 / $451.80 / $703.54	Professional		$207.82	$451.80	$703.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $91.56 / $149.63	Professional	26	$36.54	$91.56	$149.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $174.34 / $355.71 / $556.83	Professional	TC	$174.34	$355.71	$556.83
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $47.75 / $78.48 / $162.90	Facility	26	$47.75	$78.48	$162.90
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $276.97 / $439.66 / $635.70	Professional		$276.97	$439.66	$635.70
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $58.91 / $87.77 / $135.19	Professional	26	$58.91	$87.77	$135.19
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $218.06 / $351.04 / $500.50	Professional	TC	$218.06	$351.04	$500.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $160.47 / $160.47 / $160.47	Facility	26	$160.47	$160.47	$160.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.89 / $324.67 / $1,341.64	Professional		$173.89	$324.67	$1,341.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $53.06 / $375.24	Professional	26	$29.78	$53.06	$375.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $146.59 / $273.12 / $1,090.58	Professional	TC	$146.59	$273.12	$1,090.58
United Facility/Professional Professional Modifier Low / Median / High Price $168.55 / $299.04 / $584.75	Professional		$168.55	$299.04	$584.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.03 / $53.06 / $95.12	Professional	26	$28.03	$53.06	$95.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.52 / $261.89 / $489.19	Professional	TC	$140.52	$261.89	$489.19