Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $39.81 / $69.18	Facility	26	$36.31	$39.81	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $933.25	Professional		$134.90	$218.78	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $67.61 / $239.88	Professional	26	$36.31	$67.61	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $125.89 / $275.42	Professional	TC	$97.72	$125.89	$275.42
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 $234.42 / $380.19 / $562.34	Professional		$234.42	$380.19	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $91.20 / $134.90	Professional	26	$54.95	$91.20	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $309.03 / $446.68	Professional	TC	$190.55	$309.03	$446.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $120.23 / $331.13	Facility	26	$30.90	$120.23	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $691.83	Professional		$194.98	$407.38	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $95.50 / $158.49	Professional	26	$45.71	$95.50	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $316.23 / $524.81	Professional	TC	$144.54	$316.23	$524.81
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $131.83 / $263.03	Facility	26	$107.15	$131.83	$263.03
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $645.65	Professional		$275.42	$407.38	$645.65
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $93.33 / $147.91	Professional	26	$64.57	$93.33	$147.91
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $316.23 / $501.19	Professional	TC	$213.80	$316.23	$501.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	26	$251.19	$251.19	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $416.87 / $1,348.96	Professional		$165.96	$416.87	$1,348.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $100.00 / $281.84	Professional	26	$56.23	$100.00	$281.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $245.47 / $1,023.29	Professional	TC	$125.89	$245.47	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $524.81	Professional		$165.96	$302.00	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $75.86 / $128.82	Professional	26	$40.74	$75.86	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $229.09 / $407.38	Professional	TC	$125.89	$229.09	$407.38