Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $131.83	Facility	26	$77.62	$77.62	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $1,122.02	Professional		$218.78	$309.03	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $93.33 / $218.78	Professional	26	$64.57	$93.33	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $208.93 / $416.87	Professional	TC	$144.54	$208.93	$416.87
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $64.57 / $64.57	Facility	26	$54.95	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $794.33	Professional		$371.54	$537.03	$794.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $181.97 / $269.15	Professional	26	$123.03	$181.97	$269.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $371.54 / $537.03	Professional	TC	$245.47	$371.54	$537.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $239.88 / $660.69	Facility	26	$61.66	$239.88	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $724.44	Professional		$309.03	$436.52	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $144.54 / $239.88	Professional	26	$77.62	$144.54	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $295.12 / $512.86	Professional	TC	$213.80	$295.12	$512.86
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $269.15 / $524.81	Facility	26	$213.80	$269.15	$524.81
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $537.03	Professional		$346.74	$346.74	$537.03
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $177.83	Professional	26	$112.20	$112.20	$177.83
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $229.09 / $389.05	Professional	TC	$229.09	$229.09	$389.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	26	$707.95	$707.95	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $501.19 / $2,041.74	Professional		$257.04	$501.19	$2,041.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $138.04 / $489.78	Professional	26	$75.86	$138.04	$489.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $346.74 / $1,995.26	Professional	TC	$165.96	$346.74	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $758.58	Professional		$251.19	$467.74	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $123.03 / $239.88	Professional	26	$77.62	$123.03	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $331.13 / $512.86	Professional	TC	$165.96	$331.13	$512.86