Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.22 / $58.22 / $58.22	Facility	26	$58.22	$58.22	$58.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.82 / $425.00 / $600.00	Professional		$228.82	$425.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.22 / $122.86 / $167.00	Professional	26	$58.22	$122.86	$167.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.73 / $335.00 / $423.32	Professional	TC	$168.73	$335.00	$423.32
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.79 / $47.79 / $47.79	Facility	26	$47.79	$47.79	$47.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.18 / $644.16 / $781.28	Professional		$383.18	$644.16	$781.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.41 / $162.49 / $197.08	Professional	26	$98.41	$162.49	$197.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $332.34 / $481.67 / $584.20	Professional	TC	$332.34	$481.67	$584.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.27 / $197.08 / $474.11	Facility	26	$126.27	$197.08	$474.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.86 / $465.17 / $945.02	Professional		$340.86	$465.17	$945.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.04 / $107.64 / $182.79	Professional	26	$65.04	$107.64	$182.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $255.26 / $351.33 / $799.83	Professional	TC	$255.26	$351.33	$799.83
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $109.43 / $173.76 / $373.31	Facility	26	$109.43	$173.76	$373.31
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $337.49 / $435.91 / $878.81	Professional		$337.49	$435.91	$878.81
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $84.75 / $105.94 / $171.09	Professional	26	$84.75	$105.94	$171.09
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $252.74 / $326.44 / $763.97	Professional	TC	$252.74	$326.44	$763.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $530.79 / $530.79 / $530.79	Facility	26	$530.79	$530.79	$530.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.11 / $603.90 / $2,961.02	Professional		$275.11	$603.90	$2,961.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $111.68 / $505.24	Professional	26	$61.71	$111.68	$505.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $207.23 / $479.18 / $2,631.72	Professional	TC	$207.23	$479.18	$2,631.72
United Facility/Professional Professional Modifier Low / Median / High Price $250.10 / $541.30 / $825.33	Professional		$250.10	$541.30	$825.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $108.59 / $188.14	Professional	26	$61.71	$108.59	$188.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $188.39 / $444.95 / $679.71	Professional	TC	$188.39	$444.95	$679.71