Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.74 / $47.74 / $47.74	Facility	26	$47.74	$47.74	$47.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $150.00 / $287.11	Professional		$93.21	$150.00	$287.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.32 / $59.46 / $148.63	Professional	26	$42.32	$59.46	$148.63
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.49 / $51.40 / $116.41	Professional	52	$46.49	$51.40	$116.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.84 / $75.09 / $151.63	Professional	TC	$48.84	$75.09	$151.63
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.57 / $36.57 / $36.57	Facility	26	$36.57	$36.57	$36.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.49 / $257.62 / $331.99	Professional		$137.49	$257.62	$331.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.99 / $117.43 / $151.33	Professional	26	$62.99	$117.43	$151.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.41 / $148.61 / $180.66	Professional	TC	$79.41	$148.61	$180.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.81 / $152.88 / $367.79	Facility	26	$107.81	$152.88	$367.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.05 / $213.23 / $253.32	Professional		$201.05	$213.23	$253.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.74 / $95.43 / $111.81	Professional	26	$88.74	$95.43	$111.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.31 / $118.54 / $141.51	Professional	TC	$112.31	$118.54	$141.51
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $97.96 / $139.52 / $289.60	Facility	26	$97.96	$139.52	$289.60
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $195.62 / $199.06 / $199.46	Professional		$195.62	$199.06	$199.46
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $87.86 / $87.86 / $88.04	Professional	26	$87.86	$87.86	$88.04
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $107.76 / $111.20 / $111.42	Professional	TC	$107.76	$111.20	$111.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $286.02 / $3,000.00	Professional		$161.71	$286.02	$3,000.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.68 / $112.00 / $870.13	Professional	26	$60.68	$112.00	$870.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $92.60 / $177.55 / $870.13	Professional	TC	$92.60	$177.55	$870.13
United Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $267.36 / $436.20	Professional		$119.10	$267.36	$436.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.04 / $104.58 / $167.04	Professional	26	$55.04	$104.58	$167.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.20 / $176.50 / $269.16	Professional	TC	$80.20	$176.50	$269.16