Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.88 / $48.88 / $48.88	Facility	26	$48.88	$48.88	$48.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.24 / $172.62 / $539.34	Professional		$92.24	$172.62	$539.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $58.60 / $170.10	Professional	26	$43.82	$58.60	$170.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $260.27 / $260.27 / $260.27	Professional	50	$260.27	$260.27	$260.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.49 / $52.60 / $80.92	Professional	TC	$43.49	$52.60	$80.92
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.72 / $37.72 / $37.72	Facility	26	$37.72	$37.72	$37.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $257.33 / $337.85	Professional		$136.72	$257.33	$337.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.94 / $117.69 / $154.85	Professional	26	$64.94	$117.69	$154.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.42 / $146.40 / $183.00	Professional	TC	$73.42	$146.40	$183.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.34 / $156.47 / $376.41	Facility	26	$110.34	$156.47	$376.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $261.47 / $407.16	Professional		$161.88	$261.47	$407.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.51 / $121.96 / $189.91	Professional	26	$75.51	$121.96	$189.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.38 / $139.51 / $217.25	Professional	TC	$86.38	$139.51	$217.25
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $100.25 / $143.05 / $296.39	Facility	26	$100.25	$143.05	$296.39
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $160.29 / $243.38 / $367.90	Professional		$160.29	$243.38	$367.90
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $74.76 / $113.52 / $171.60	Professional	26	$74.76	$113.52	$171.60
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $85.53 / $129.86 / $196.30	Professional	TC	$85.53	$129.86	$196.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $310.26 / $473.98	Professional		$124.51	$310.26	$473.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.56 / $103.53 / $282.38	Professional	26	$57.56	$103.53	$282.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $55.13 / $105.20 / $358.05	Professional	TC	$55.13	$105.20	$358.05
United Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $206.98 / $363.66	Professional		$112.31	$206.98	$363.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.73 / $98.20 / $166.90	Professional	26	$52.73	$98.20	$166.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.17 / $101.86 / $191.17	Professional	TC	$57.17	$101.86	$191.17