Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.06 / $71.06 / $71.06	Facility	26	$71.06	$71.06	$71.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.51 / $425.00 / $642.90	Professional		$282.51	$425.00	$642.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.06 / $112.50 / $162.59	Professional	26	$71.06	$112.50	$162.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $209.06 / $329.60 / $480.01	Professional	TC	$209.06	$329.60	$480.01
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $58.17 / $58.17 / $58.17	Facility	26	$58.17	$58.17	$58.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.12 / $788.29 / $956.08	Professional		$464.12	$788.29	$956.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.55 / $200.21 / $242.83	Professional	26	$120.55	$200.21	$242.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $404.21 / $588.07 / $713.24	Professional	TC	$404.21	$588.07	$713.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.59 / $241.28 / $580.41	Facility	26	$154.59	$241.28	$580.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.05 / $519.49 / $1,048.70	Professional		$409.05	$519.49	$1,048.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.28 / $130.84 / $223.49	Professional	26	$79.28	$130.84	$223.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $306.02 / $399.22 / $808.93	Professional	TC	$306.02	$399.22	$808.93
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $133.97 / $212.73 / $457.03	Facility	26	$133.97	$212.73	$457.03
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $409.05 / $508.75 / $967.10	Professional		$409.05	$508.75	$967.10
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $103.02 / $126.49 / $207.97	Professional	26	$103.02	$126.49	$207.97
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $306.02 / $380.61 / $777.87	Professional	TC	$306.02	$380.61	$777.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $653.60 / $653.60 / $653.60	Facility	26	$653.60	$653.60	$653.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $337.92 / $615.99 / $2,872.81	Professional		$337.92	$615.99	$2,872.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.79 / $136.83 / $548.98	Professional	26	$75.79	$136.83	$548.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $253.33 / $469.96 / $2,498.98	Professional	TC	$253.33	$469.96	$2,498.98
United Facility/Professional Professional Modifier Low / Median / High Price $313.26 / $575.30 / $1,029.95	Professional		$313.26	$575.30	$1,029.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.79 / $136.83 / $231.07	Professional	26	$75.79	$136.83	$231.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $237.47 / $451.22 / $790.60	Professional	TC	$237.47	$451.22	$790.60