Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.86 / $99.86 / $99.86	Facility	26	$99.86	$99.86	$99.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.09 / $379.68 / $535.22	Professional		$368.09	$379.68	$535.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.86 / $99.86 / $155.18	Professional	26	$99.86	$99.86	$155.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $268.23 / $268.23 / $381.64	Professional	TC	$268.23	$268.23	$381.64
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $85.80 / $85.80 / $85.80	Facility	26	$85.80	$85.80	$85.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.62 / $952.41 / $1,337.03	Professional		$571.62	$952.41	$1,337.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $174.20 / $271.50 / $381.14	Professional	26	$174.20	$271.50	$381.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $406.83 / $701.42 / $1,030.94	Professional	TC	$406.83	$701.42	$1,030.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.84 / $357.14 / $859.14	Facility	26	$251.84	$357.14	$859.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.12 / $1,185.78 / $1,670.08	Professional		$696.12	$1,185.78	$1,670.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $203.94 / $344.32 / $489.28	Professional	26	$203.94	$344.32	$489.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $492.18 / $858.17 / $1,180.80	Professional	TC	$492.18	$858.17	$1,180.80
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $204.73 / $326.51 / $676.49	Facility	26	$204.73	$326.51	$676.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $612.86 / $1,048.79 / $1,389.88	Professional		$612.86	$1,048.79	$1,389.88
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $179.55 / $307.26 / $407.19	Professional	26	$179.55	$307.26	$407.19
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $433.31 / $741.53 / $982.69	Professional	TC	$433.31	$741.53	$982.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $440.10 / $879.13 / $1,855.12	Professional		$440.10	$879.13	$1,855.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $143.05 / $277.89 / $557.91	Professional	26	$143.05	$277.89	$557.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $292.39 / $614.74 / $1,297.21	Professional	TC	$292.39	$614.74	$1,297.21
United Facility/Professional Professional Modifier Low / Median / High Price $452.84 / $928.05 / $1,424.77	Professional		$452.84	$928.05	$1,424.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $139.22 / $255.87 / $428.49	Professional	26	$139.22	$255.87	$428.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $305.75 / $683.91 / $1,013.15	Professional	TC	$305.75	$683.91	$1,013.15