Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.11 / $29.11 / $29.11	Facility	26	$29.11	$29.11	$29.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.53 / $186.47 / $222.79	Professional		$135.53	$186.47	$222.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.99 / $157.36 / $185.54	Professional	TC	$106.99	$157.36	$185.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $22.46 / $22.46 / $22.46	Facility	26	$22.46	$22.46	$22.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.32 / $495.70 / $641.69	Professional		$258.32	$495.70	$641.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $219.26 / $434.22 / $547.84	Professional	TC	$219.26	$434.22	$547.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.38 / $95.55 / $229.87	Facility	26	$67.38	$95.55	$229.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.20 / $496.15 / $772.60	Professional		$307.20	$496.15	$772.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $261.43 / $422.23 / $657.50	Professional	TC	$261.43	$422.23	$657.50
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $61.22 / $87.20 / $181.00	Facility	26	$61.22	$87.20	$181.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $304.16 / $461.82 / $698.10	Professional		$304.16	$461.82	$698.10
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $258.83 / $393.02 / $594.10	Professional	TC	$258.83	$393.02	$594.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.87 / $281.82 / $964.87	Professional		$148.87	$281.82	$964.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $123.49 / $224.43 / $798.40	Professional	TC	$123.49	$224.43	$798.40
United Facility/Professional Professional Modifier Low / Median / High Price $154.75 / $288.70 / $497.85	Professional		$154.75	$288.70	$497.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.61 / $261.43 / $470.40	Professional	TC	$124.61	$261.43	$470.40