Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.94 / $40.94 / $61.40	Facility	26	$40.94	$40.94	$61.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.35 / $215.87 / $945.01	Professional		$139.35	$215.87	$945.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.34 / $56.90 / $251.14	Professional	26	$36.34	$56.90	$251.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.50 / $133.94 / $204.06	Professional	TC	$99.50	$133.94	$204.06
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $31.38 / $31.38 / $31.38	Facility	26	$31.38	$31.38	$31.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.41 / $420.45 / $558.40	Professional		$245.41	$420.45	$558.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.11 / $99.10 / $131.38	Professional	26	$58.11	$99.10	$131.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $211.27 / $345.62 / $427.01	Professional	TC	$211.27	$345.62	$427.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.18 / $131.38 / $316.07	Facility	26	$84.18	$131.38	$316.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.21 / $441.64 / $687.72	Professional		$222.21	$441.64	$687.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.59 / $101.63 / $158.26	Professional	26	$55.59	$101.63	$158.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.46 / $340.00 / $529.46	Professional	TC	$163.46	$340.00	$529.46
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $115.84 / $248.88	Facility	26	$72.95	$115.84	$248.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $431.95 / $621.40	Professional		$270.74	$431.95	$621.40
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $62.30 / $98.90 / $143.00	Professional	26	$62.30	$98.90	$143.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $208.44 / $333.17 / $478.40	Professional	TC	$208.44	$333.17	$478.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $251.76 / $251.76 / $251.76	Facility	26	$251.76	$251.76	$251.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.12 / $397.53 / $1,239.18	Professional		$186.12	$397.53	$1,239.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.86 / $95.38 / $279.18	Professional	26	$55.86	$95.38	$279.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $139.71 / $260.37 / $1,018.44	Professional	TC	$139.71	$260.37	$1,018.44
United Facility/Professional Professional Modifier Low / Median / High Price $183.60 / $317.13 / $577.27	Professional		$183.60	$317.13	$577.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.70 / $75.81 / $143.94	Professional	26	$41.70	$75.81	$143.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.35 / $241.32 / $447.18	Professional	TC	$139.35	$241.32	$447.18