Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.35 / $63.35 / $63.35	Facility	26	$63.35	$63.35	$63.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.62 / $176.56 / $243.76	Professional		$152.62	$176.56	$243.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.08 / $63.11 / $83.06	Professional	26	$53.08	$63.11	$83.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.37 / $115.34 / $160.69	Professional	TC	$99.37	$115.34	$160.69
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $48.94 / $48.94 / $48.94	Facility	26	$48.94	$48.94	$48.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.02 / $861.80 / $1,151.98	Professional		$455.02	$861.80	$1,151.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.76 / $153.69 / $204.12	Professional	26	$89.76	$153.69	$204.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $429.72 / $758.29 / $947.86	Professional	TC	$429.72	$758.29	$947.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.87 / $204.25 / $491.35	Facility	26	$130.87	$204.25	$491.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.42 / $822.29 / $1,310.75	Professional		$351.42	$822.29	$1,310.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.80 / $157.99 / $246.02	Professional	26	$67.80	$157.99	$246.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $280.83 / $664.30 / $1,058.91	Professional	TC	$280.83	$664.30	$1,058.91
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $180.08 / $386.89	Facility	26	$113.41	$180.08	$386.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $504.10 / $811.50 / $1,157.00	Professional		$504.10	$811.50	$1,157.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $96.85 / $153.75 / $222.30	Professional	26	$96.85	$153.75	$222.30
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $407.24 / $655.58 / $934.70	Professional	TC	$407.24	$655.58	$934.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $261.89 / $261.89 / $261.89	Facility	26	$261.89	$261.89	$261.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.95 / $638.66 / $1,731.57	Professional		$317.95	$638.66	$1,731.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.94 / $120.95 / $367.94	Professional	26	$62.94	$120.95	$367.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $256.27 / $525.60 / $1,410.54	Professional	TC	$256.27	$525.60	$1,410.54
United Facility/Professional Professional Modifier Low / Median / High Price $317.95 / $623.17 / $1,166.33	Professional		$317.95	$623.17	$1,166.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $114.26 / $217.84	Professional	26	$61.71	$114.26	$217.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.24 / $502.23 / $904.53	Professional	TC	$256.24	$502.23	$904.53