Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.42 / $71.42 / $71.42	Facility	26	$71.42	$71.42	$71.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.72 / $475.00 / $801.79	Professional		$348.72	$475.00	$801.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.42 / $140.00 / $458.10	Professional	26	$71.42	$140.00	$458.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $274.93 / $335.00 / $631.49	Professional	TC	$274.93	$335.00	$631.49
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $58.45 / $58.45 / $58.45	Facility	26	$58.45	$58.45	$58.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.66 / $984.63 / $1,194.22	Professional		$584.66	$984.63	$1,194.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $121.13 / $201.18 / $244.00	Professional	26	$121.13	$201.18	$244.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $544.26 / $783.45 / $950.21	Professional	TC	$544.26	$783.45	$950.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.36 / $242.47 / $583.29	Facility	26	$155.36	$242.47	$583.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.13 / $714.47 / $1,298.23	Professional		$516.13	$714.47	$1,298.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.13 / $131.47 / $224.60	Professional	26	$90.13	$131.47	$224.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $416.72 / $571.51 / $1,057.81	Professional	TC	$416.72	$571.51	$1,057.81
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $134.63 / $213.78 / $459.29	Facility	26	$134.63	$213.78	$459.29
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $516.13 / $666.64 / $1,041.92	Professional		$516.13	$666.64	$1,041.92
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $103.53 / $129.41 / $209.00	Professional	26	$103.53	$129.41	$209.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $412.60 / $532.91 / $832.92	Professional	TC	$412.60	$532.91	$832.92
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $656.72 / $656.72 / $656.72	Facility	26	$656.72	$656.72	$656.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $418.44 / $924.88 / $5,311.18	Professional		$418.44	$924.88	$5,311.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $82.27 / $149.76 / $808.00	Professional	26	$82.27	$149.76	$808.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $331.48 / $758.04 / $4,858.99	Professional	TC	$331.48	$758.04	$4,858.99
United Facility/Professional Professional Modifier Low / Median / High Price $377.50 / $871.22 / $1,256.80	Professional		$377.50	$871.22	$1,256.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.15 / $139.88 / $232.17	Professional	26	$76.15	$139.88	$232.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $301.35 / $702.75 / $1,074.67	Professional	TC	$301.35	$702.75	$1,074.67