Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.17 / $64.17 / $64.17	Facility	26	$64.17	$64.17	$64.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.45 / $136.72 / $253.80	Professional		$111.45	$136.72	$253.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.09 / $64.17 / $90.87	Professional	26	$55.09	$64.17	$90.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.64 / $65.70 / $142.32	Professional	TC	$52.64	$65.70	$142.32
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $49.81 / $49.81 / $49.81	Facility	26	$49.81	$49.81	$49.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.59 / $308.04 / $411.76	Professional		$181.59	$308.04	$411.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.32 / $155.74 / $206.47	Professional	26	$91.32	$155.74	$206.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $101.58 / $167.83 / $206.85	Professional	TC	$101.58	$167.83	$206.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.16 / $207.83 / $499.97	Facility	26	$133.16	$207.83	$499.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.65 / $324.30 / $505.00	Professional		$170.65	$324.30	$505.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.83 / $160.76 / $250.34	Professional	26	$70.83	$160.76	$250.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.74 / $163.53 / $254.66	Professional	TC	$89.74	$163.53	$254.66
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $115.40 / $183.24 / $393.68	Facility	26	$115.40	$183.24	$393.68
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $316.10 / $456.30	Professional		$198.81	$316.10	$456.30
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $98.55 / $156.44 / $226.20	Professional	26	$98.55	$156.44	$226.20
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $100.25 / $159.85 / $230.10	Professional	TC	$100.25	$159.85	$230.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $352.88 / $352.88 / $352.88	Facility	26	$352.88	$352.88	$352.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.26 / $259.73 / $1,060.27	Professional		$138.26	$259.73	$1,060.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.65 / $123.98 / $369.36	Professional	26	$65.65	$123.98	$369.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.88 / $131.97 / $707.89	Professional	TC	$67.88	$131.97	$707.89
United Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $244.30 / $440.79	Professional		$137.36	$244.30	$440.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.16 / $116.85 / $222.95	Professional	26	$63.16	$116.85	$222.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.02 / $120.95 / $227.00	Professional	TC	$62.02	$120.95	$227.00