Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.13 / $85.13 / $85.13	Facility	26	$85.13	$85.13	$85.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.78 / $170.26 / $615.00	Professional		$133.78	$170.26	$615.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.05 / $82.87 / $143.04	Professional	26	$72.05	$82.87	$143.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.26 / $67.66 / $98.80	Professional	TC	$55.26	$67.66	$98.80
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $65.94 / $65.94 / $65.94	Facility	26	$65.94	$65.94	$65.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.53 / $358.41 / $471.59	Professional		$189.53	$358.41	$471.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.29 / $211.20 / $272.16	Professional	26	$113.29	$211.20	$272.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.50 / $161.41 / $199.43	Professional	TC	$82.50	$161.41	$199.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $193.72 / $274.72 / $660.88	Facility	26	$193.72	$274.72	$660.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.25 / $368.65 / $574.05	Professional		$228.25	$368.65	$574.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $132.15 / $213.43 / $332.35	Professional	26	$132.15	$213.43	$332.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.40 / $155.22 / $241.71	Professional	TC	$96.40	$155.22	$241.71
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $176.02 / $251.16 / $520.38	Facility	26	$176.02	$251.16	$520.38
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $225.99 / $343.14 / $518.70	Professional		$225.99	$343.14	$518.70
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $130.84 / $198.66 / $300.30	Professional	26	$130.84	$198.66	$300.30
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $95.16 / $144.47 / $218.40	Professional	TC	$95.16	$144.47	$218.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.96 / $385.24 / $874.03	Professional		$184.96	$385.24	$874.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $93.51 / $174.82 / $497.06	Professional	26	$93.51	$174.82	$497.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $137.44 / $376.97	Professional	TC	$74.13	$137.44	$376.97
United Facility/Professional Professional Modifier Low / Median / High Price $163.56 / $306.30 / $542.29	Professional		$163.56	$306.30	$542.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.31 / $162.82 / $299.86	Professional	26	$91.31	$162.82	$299.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.44 / $138.10 / $241.60	Professional	TC	$73.44	$138.10	$241.60