Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.63 / $84.63 / $143.02	Facility	26	$84.63	$84.63	$143.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $381.56 / $1,506.92	Professional		$251.12	$381.56	$1,506.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.65 / $100.65 / $356.89	Professional	26	$75.65	$100.65	$356.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.49 / $234.61 / $386.24	Professional	TC	$168.49	$234.61	$386.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $69.39 / $69.39 / $69.39	Facility	26	$69.39	$69.39	$69.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.32 / $821.17 / $995.96	Professional		$490.32	$821.17	$995.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $143.25 / $236.97 / $287.41	Professional	26	$143.25	$236.97	$287.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $403.09 / $584.20 / $708.55	Professional	TC	$403.09	$584.20	$708.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $184.44 / $287.86 / $692.48	Facility	26	$184.44	$287.86	$692.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.38 / $551.85 / $935.89	Professional		$431.38	$551.85	$935.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.17 / $155.97 / $264.88	Professional	26	$95.17	$155.97	$264.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $303.22 / $392.60 / $688.46	Professional	TC	$303.22	$392.60	$688.46
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $159.83 / $253.80 / $545.26	Facility	26	$159.83	$253.80	$545.26
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $431.38 / $529.64 / $837.34	Professional		$431.38	$529.64	$837.34
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $122.82 / $153.52 / $247.93	Professional	26	$122.82	$153.52	$247.93
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $308.56 / $365.23 / $598.94	Professional	TC	$308.56	$365.23	$598.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $773.84 / $773.84 / $773.84	Facility	26	$773.84	$773.84	$773.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $327.80 / $602.70 / $3,234.12	Professional		$327.80	$602.70	$3,234.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $107.40 / $208.40 / $746.10	Professional	26	$107.40	$208.40	$746.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $231.30 / $422.94 / $2,749.60	Professional	TC	$231.30	$422.94	$2,749.60
United Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $542.90 / $1,003.28	Professional		$301.35	$542.90	$1,003.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.50 / $149.31 / $273.12	Professional	26	$89.50	$149.31	$273.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $227.82 / $420.54 / $712.33	Professional	TC	$227.82	$420.54	$712.33