Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $676.08	Professional		$338.84	$380.19	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $120.23 / $194.98	Professional	26	$100.00	$120.23	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $269.15 / $467.74	Professional	TC	$229.09	$269.15	$467.74
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $89.13 / $89.13	Facility	26	$77.62	$89.13	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,230.27	Professional		$512.86	$758.58	$1,230.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $234.42 / $371.54	Professional	26	$154.88	$234.42	$371.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $562.34 / $870.96	Professional	TC	$371.54	$562.34	$870.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $371.54 / $891.25	Facility	26	$177.83	$371.54	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,659.59	Professional		$724.44	$1,096.48	$1,659.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $323.59 / $489.78	Professional	26	$208.93	$323.59	$489.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $501.19 / $776.25 / $1,174.90	Professional	TC	$501.19	$776.25	$1,174.90
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $363.08 / $707.95	Facility	26	$288.40	$363.08	$707.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,380.38	Professional		$660.69	$933.25	$1,380.38
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $269.15 / $407.38	Professional	26	$194.98	$269.15	$407.38
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $645.65 / $977.24	Professional	TC	$467.74	$645.65	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $741.31 / $1,513.56	Professional		$389.05	$741.31	$1,513.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $218.78 / $467.74	Professional	26	$131.83	$218.78	$467.74
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $512.86 / $1,047.13	Professional	TC	$251.19	$512.86	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $1,348.96	Professional		$407.38	$724.44	$1,348.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $213.80 / $416.87	Professional	26	$125.89	$213.80	$416.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $501.19 / $933.25	Professional	TC	$269.15	$501.19	$933.25