Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.08 / $87.08 / $87.08	Facility	26	$87.08	$87.08	$87.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.24 / $475.00 / $1,089.73	Professional		$366.24	$475.00	$1,089.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $140.00 / $443.00	Professional	26	$85.00	$140.00	$443.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $276.27 / $335.00 / $634.58	Professional	TC	$276.27	$335.00	$634.58
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $71.40 / $71.40 / $71.40	Facility	26	$71.40	$71.40	$71.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.62 / $1,031.05 / $1,250.52	Professional		$612.62	$1,031.05	$1,250.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.33 / $243.74 / $295.62	Professional	26	$147.33	$243.74	$295.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $543.23 / $787.32 / $954.90	Professional	TC	$543.23	$787.32	$954.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $189.79 / $296.22 / $712.60	Facility	26	$189.79	$296.22	$712.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.49 / $748.64 / $1,349.18	Professional		$540.49	$748.64	$1,349.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.50 / $160.49 / $274.39	Professional	26	$97.50	$160.49	$274.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $418.26 / $573.62 / $1,061.71	Professional	TC	$418.26	$573.62	$1,061.71
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $164.47 / $261.17 / $561.10	Facility	26	$164.47	$261.17	$561.10
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $540.49 / $698.11 / $1,091.08	Professional		$540.49	$698.11	$1,091.08
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $126.37 / $157.96 / $255.10	Professional	26	$126.37	$157.96	$255.10
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $414.12 / $534.89 / $835.99	Professional	TC	$414.12	$534.89	$835.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $796.16 / $796.16 / $796.16	Facility	26	$796.16	$796.16	$796.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $463.02 / $984.90 / $5,311.18	Professional		$463.02	$984.90	$5,311.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $94.52 / $180.66 / $808.00	Professional	26	$94.52	$180.66	$808.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $333.86 / $763.50 / $4,858.99	Professional	TC	$333.86	$763.50	$4,858.99
United Facility/Professional Professional Modifier Low / Median / High Price $395.90 / $850.92 / $1,271.80	Professional		$395.90	$850.92	$1,271.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.74 / $160.62 / $281.68	Professional	26	$90.74	$160.62	$281.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $325.14 / $743.60 / $1,056.27	Professional	TC	$325.14	$743.60	$1,056.27