Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.39 / $86.39 / $86.39	Facility	26	$86.39	$86.39	$86.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.86 / $425.00 / $653.64	Professional		$287.86	$425.00	$653.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.16 / $140.00 / $268.36	Professional	26	$85.16	$140.00	$268.36
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $143.93 / $165.71 / $326.82	Professional	52	$143.93	$165.71	$326.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $198.63 / $335.00 / $451.98	Professional	TC	$198.63	$335.00	$451.98
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $70.83 / $70.83 / $70.83	Facility	26	$70.83	$70.83	$70.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.84 / $806.67 / $978.37	Professional		$479.84	$806.67	$978.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $146.16 / $241.81 / $293.27	Professional	26	$146.16	$241.81	$293.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $389.74 / $564.86 / $685.09	Professional	TC	$389.74	$564.86	$685.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $188.26 / $293.83 / $706.85	Facility	26	$188.26	$293.83	$706.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.24 / $556.66 / $1,084.01	Professional		$422.24	$556.66	$1,084.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.39 / $159.19 / $278.55	Professional	26	$96.39	$159.19	$278.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $296.89 / $392.80 / $812.79	Professional	TC	$296.89	$392.80	$812.79
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $163.15 / $259.06 / $556.58	Facility	26	$163.15	$259.06	$556.58
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $422.24 / $527.79 / $1,024.09	Professional		$422.24	$527.79	$1,024.09
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $125.35 / $155.91 / $253.05	Professional	26	$125.35	$155.91	$253.05
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $296.89 / $371.11 / $804.74	Professional	TC	$296.89	$371.11	$804.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $789.76 / $789.76 / $789.76	Facility	26	$789.76	$789.76	$789.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $344.03 / $623.14 / $3,445.62	Professional		$344.03	$623.14	$3,445.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.31 / $168.79 / $672.00	Professional	26	$91.31	$168.79	$672.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $241.15 / $444.62 / $2,996.90	Professional	TC	$241.15	$444.62	$2,996.90
United Facility/Professional Professional Modifier Low / Median / High Price $313.62 / $586.26 / $1,029.95	Professional		$313.62	$586.26	$1,029.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.72 / $156.69 / $304.00	Professional	26	$85.72	$156.69	$304.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.31 / $425.09 / $726.91	Professional	TC	$222.31	$425.09	$726.91