Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $120.23	Facility	26	$70.79	$70.79	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $1,445.44	Professional		$338.84	$478.63	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $141.25 / $371.54	Professional	26	$70.79	$141.25	$371.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $338.84 / $851.14	Professional	TC	$263.03	$338.84	$851.14
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $58.88 / $58.88	Facility	26	$51.29	$58.88	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,202.26	Professional		$549.54	$812.83	$1,202.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $165.96 / $251.19	Professional	26	$114.82	$165.96	$251.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $676.08 / $954.99	Professional	TC	$436.52	$676.08	$954.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $223.87 / $616.60	Facility	26	$56.23	$223.87	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,258.93	Professional		$512.86	$660.69	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $131.83 / $218.78	Professional	26	$87.10	$131.83	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $524.81 / $1,047.13	Professional	TC	$416.87	$524.81	$1,047.13
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $245.47 / $478.63	Facility	26	$194.98	$245.47	$478.63
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $977.24	Professional		$512.86	$512.86	$977.24
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $104.71 / $186.21	Professional	26	$104.71	$104.71	$186.21
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $416.87 / $794.33	Professional	TC	$416.87	$416.87	$794.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $912.01 / $5,370.32	Professional		$398.11	$912.01	$5,370.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $147.91 / $812.83	Professional	26	$77.62	$147.91	$812.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $741.31 / $4,897.79	Professional	TC	$302.00	$741.31	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $812.83 / $1,258.93	Professional		$380.19	$812.83	$1,258.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $134.90 / $218.78	Professional	26	$75.86	$134.90	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $676.08 / $1,096.48	Professional	TC	$302.00	$676.08	$1,096.48