Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $102.33 / $177.83	Facility	26	$97.72	$102.33	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $2,818.38	Professional		$354.81	$512.86	$2,818.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $181.97 / $537.03	Professional	26	$97.72	$181.97	$537.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $338.84 / $1,096.48	Professional	TC	$251.19	$338.84	$1,096.48
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $85.11 / $85.11	Facility	26	$74.13	$85.11	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,230.27	Professional		$562.34	$831.76	$1,230.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $245.47 / $363.08	Professional	26	$165.96	$245.47	$363.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $616.60 / $870.96	Professional	TC	$398.11	$616.60	$870.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $323.59 / $891.25	Facility	26	$83.18	$323.59	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,258.93	Professional		$512.86	$676.08	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $190.55 / $316.23	Professional	26	$107.15	$190.55	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $478.63 / $977.24	Professional	TC	$371.54	$478.63	$977.24
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $354.81 / $691.83	Facility	26	$288.40	$354.81	$691.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,023.29	Professional		$524.81	$524.81	$1,023.29
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $151.36 / $234.42	Professional	26	$151.36	$151.36	$234.42
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $380.19 / $724.44	Professional	TC	$380.19	$380.19	$724.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $954.99 / $6,025.60	Professional		$436.52	$954.99	$6,025.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $218.78 / $891.25	Professional	26	$109.65	$218.78	$891.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $616.60 / $5,495.41	Professional	TC	$295.12	$616.60	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $1,318.26	Professional		$398.11	$776.25	$1,318.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $181.97 / $331.13	Professional	26	$107.15	$181.97	$331.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $575.44 / $977.24	Professional	TC	$288.40	$575.44	$977.24