Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.08 / $80.08 / $191.61	Facility	26	$80.08	$80.08	$191.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $348.06 / $1,546.60	Professional		$303.52	$348.06	$1,546.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.08 / $91.48 / $124.50	Professional	26	$80.08	$91.48	$124.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $221.90 / $241.19 / $316.62	Professional	TC	$221.90	$241.19	$316.62
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $68.81 / $68.81 / $68.81	Facility	26	$68.81	$68.81	$68.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.03 / $781.53 / $1,097.15	Professional		$467.03	$781.53	$1,097.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $139.13 / $215.12 / $301.99	Professional	26	$139.13	$215.12	$301.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $334.42 / $583.47 / $857.59	Professional	TC	$334.42	$583.47	$857.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $202.14 / $286.66 / $689.61	Facility	26	$202.14	$286.66	$689.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.63 / $966.92 / $1,361.83	Professional		$567.63	$966.92	$1,361.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $163.83 / $276.38 / $393.06	Professional	26	$163.83	$276.38	$393.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $403.80 / $704.08 / $968.77	Professional	TC	$403.80	$704.08	$968.77
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $164.33 / $262.08 / $543.00	Facility	26	$164.33	$262.08	$543.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $499.75 / $855.22 / $1,133.34	Professional		$499.75	$855.22	$1,133.34
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $144.24 / $246.84 / $327.11	Professional	26	$144.24	$246.84	$327.11
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $355.51 / $608.38 / $806.24	Professional	TC	$355.51	$608.38	$806.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $377.22 / $737.69 / $1,550.60	Professional		$377.22	$737.69	$1,550.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $111.38 / $221.42 / $444.51	Professional	26	$111.38	$221.42	$444.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $264.45 / $524.16 / $1,106.08	Professional	TC	$264.45	$524.16	$1,106.08
United Facility/Professional Professional Modifier Low / Median / High Price $399.32 / $840.01 / $1,190.89	Professional		$399.32	$840.01	$1,190.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.93 / $203.86 / $341.39	Professional	26	$110.93	$203.86	$341.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $266.94 / $507.26 / $849.50	Professional	TC	$266.94	$507.26	$849.50