Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $147.91	Facility	26	$87.10	$87.10	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $2,187.76	Professional		$354.81	$501.19	$2,187.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $354.81	Professional	26	$85.11	$141.25	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $346.74 / $977.24	Professional	TC	$263.03	$346.74	$977.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $70.79 / $70.79	Facility	26	$61.66	$70.79	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,258.93	Professional		$575.44	$851.14	$1,258.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $204.17 / $302.00	Professional	26	$138.04	$204.17	$302.00
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 $69.18 / $269.15 / $741.31	Facility	26	$69.18	$269.15	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,318.26	Professional		$537.03	$691.83	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $162.18 / $263.03	Professional	26	$91.20	$162.18	$263.03
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 $239.88 / $302.00 / $588.84	Facility	26	$239.88	$302.00	$588.84
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,000.00	Professional		$537.03	$537.03	$1,000.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $125.89 / $199.53	Professional	26	$125.89	$125.89	$199.53
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 $794.33 / $794.33 / $794.33	Facility	26	$794.33	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,000.00 / $5,370.32	Professional		$436.52	$1,000.00	$5,370.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $186.21 / $812.83	Professional	26	$95.50	$186.21	$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 $398.11 / $831.76 / $1,318.26	Professional		$398.11	$831.76	$1,318.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $151.36 / $263.03	Professional	26	$89.13	$151.36	$263.03
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