Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.13 / $113.13 / $113.13	Facility	26	$113.13	$113.13	$113.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $199.15 / $735.00	Professional		$175.99	$199.15	$735.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.29 / $113.03 / $190.93	Professional	26	$96.29	$113.03	$190.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.73 / $87.03 / $128.46	Professional	TC	$70.73	$87.03	$128.46
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $87.83 / $87.83 / $87.83	Facility	26	$87.83	$87.83	$87.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.44 / $469.10 / $615.88	Professional		$253.44	$469.10	$615.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $150.88 / $281.29 / $362.49	Professional	26	$150.88	$281.29	$362.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $105.00 / $205.10 / $253.39	Professional	TC	$105.00	$205.10	$253.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $257.73 / $365.50 / $879.25	Facility	26	$257.73	$365.50	$879.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.05 / $481.36 / $749.58	Professional		$298.05	$481.36	$749.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $175.62 / $283.64 / $441.69	Professional	26	$175.62	$283.64	$441.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $122.79 / $197.72 / $307.89	Professional	TC	$122.79	$197.72	$307.89
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $234.18 / $334.15 / $692.33	Facility	26	$234.18	$334.15	$692.33
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $448.06 / $677.30	Professional		$295.08	$448.06	$677.30
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $173.88 / $264.02 / $399.10	Professional	26	$173.88	$264.02	$399.10
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $121.21 / $184.04 / $278.20	Professional	TC	$121.21	$184.04	$278.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.17 / $506.27 / $1,023.93	Professional		$243.17	$506.27	$1,023.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $124.63 / $236.29 / $663.65	Professional	26	$124.63	$236.29	$663.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $94.19 / $176.86 / $479.00	Professional	TC	$94.19	$176.86	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.61 / $415.41 / $712.68	Professional		$223.61	$415.41	$712.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $122.28 / $229.95 / $400.77	Professional	26	$122.28	$229.95	$400.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.89 / $175.66 / $310.64	Professional	TC	$92.89	$175.66	$310.64