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 $236.84 / $381.88 / $1,506.92	Professional		$236.84	$381.88	$1,506.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.36 / $96.32 / $344.43	Professional	26	$74.36	$96.32	$344.43
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 $489.74 / $820.20 / $994.79	Professional		$489.74	$820.20	$994.79
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 $402.42 / $583.23 / $707.38	Professional	TC	$402.42	$583.23	$707.38
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 $430.87 / $551.49 / $939.35	Professional		$430.87	$551.49	$939.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.57 / $155.97 / $264.88	Professional	26	$95.57	$155.97	$264.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $308.05 / $392.10 / $687.33	Professional	TC	$308.05	$392.10	$687.33
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 $430.87 / $529.01 / $836.35	Professional		$430.87	$529.01	$836.35
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 $308.05 / $364.62 / $597.96	Professional	TC	$308.05	$364.62	$597.96
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 $300.99 / $597.88 / $3,248.56	Professional		$300.99	$597.88	$3,248.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $107.40 / $210.64 / $733.77	Professional	26	$107.40	$210.64	$733.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $230.49 / $421.92 / $2,762.21	Professional	TC	$230.49	$421.92	$2,762.21
United Facility/Professional Professional Modifier Low / Median / High Price $300.99 / $541.78 / $1,002.08	Professional		$300.99	$541.78	$1,002.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.05 / $149.13 / $272.87	Professional	26	$88.05	$149.13	$272.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.49 / $390.41 / $726.61	Professional	TC	$211.49	$390.41	$726.61