Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.47 / $72.47 / $72.47	Facility	26	$72.47	$72.47	$72.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.05 / $425.00 / $600.00	Professional		$261.05	$425.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.47 / $112.50 / $226.41	Professional	26	$72.47	$112.50	$226.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.19 / $294.14 / $427.51	Professional	TC	$186.19	$294.14	$427.51
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $59.32 / $59.32 / $59.32	Facility	26	$59.32	$59.32	$59.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.76 / $734.12 / $890.38	Professional		$436.76	$734.12	$890.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $122.88 / $204.08 / $247.52	Professional	26	$122.88	$204.08	$247.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $365.71 / $530.04 / $642.86	Professional	TC	$365.71	$530.04	$642.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $157.65 / $246.05 / $591.91	Facility	26	$157.65	$246.05	$591.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.18 / $514.02 / $1,005.71	Professional		$384.18	$514.02	$1,005.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.34 / $133.41 / $226.57	Professional	26	$66.34	$133.41	$226.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.92 / $373.98 / $812.79	Professional	TC	$281.92	$373.98	$812.79
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $136.62 / $216.94 / $466.08	Facility	26	$136.62	$216.94	$466.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $384.18 / $477.82 / $969.59	Professional		$384.18	$477.82	$969.59
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $105.05 / $128.97 / $212.07	Professional	26	$105.05	$128.97	$212.07
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $279.13 / $347.16 / $763.97	Professional	TC	$279.13	$347.16	$763.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $666.24 / $666.24 / $666.24	Facility	26	$666.24	$666.24	$666.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $307.26 / $654.54 / $3,076.60	Professional		$307.26	$654.54	$3,076.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $68.39 / $120.66 / $867.00	Professional	26	$68.39	$120.66	$867.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $222.70 / $510.23 / $2,747.24	Professional	TC	$222.70	$510.23	$2,747.24
United Facility/Professional Professional Modifier Low / Median / High Price $279.33 / $603.89 / $929.97	Professional		$279.33	$603.89	$929.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.15 / $120.66 / $358.32	Professional	26	$73.15	$120.66	$358.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $202.46 / $470.55 / $721.38	Professional	TC	$202.46	$470.55	$721.38