Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $426.58	Professional		$107.15	$138.04	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $64.57 / $154.88	Professional	26	$53.70	$64.57	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $64.57 / $147.91	Professional	TC	$52.48	$64.57	$147.91
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $52.48 / $52.48	Facility	26	$45.71	$52.48	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $416.87	Professional		$169.82	$281.84	$416.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $208.93	Professional	26	$85.11	$141.25	$208.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $147.91 / $208.93	Professional	TC	$91.20	$147.91	$208.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $190.55 / $524.81	Facility	26	$47.86	$190.55	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $501.19	Professional		$141.25	$302.00	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $147.91 / $251.19	Professional	26	$66.07	$147.91	$251.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $162.18 / $257.04	Professional	TC	$70.79	$162.18	$257.04
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $208.93 / $407.38	Facility	26	$169.82	$208.93	$407.38
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $478.63	Professional		$204.17	$295.12	$478.63
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $147.91 / $234.42	Professional	26	$100.00	$147.91	$234.42
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $151.36 / $239.88	Professional	TC	$102.33	$151.36	$239.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $257.04 / $1,071.52	Professional		$125.89	$257.04	$1,071.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $117.49 / $371.54	Professional	26	$61.66	$117.49	$371.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $123.03 / $707.95	Professional	TC	$61.66	$123.03	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $398.11	Professional		$125.89	$229.09	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $109.65 / $199.53	Professional	26	$63.10	$109.65	$199.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $120.23 / $208.93	Professional	TC	$61.66	$120.23	$208.93