Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.78 / $87.78 / $148.34	Facility	26	$87.78	$87.78	$148.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.20 / $388.54 / $1,893.33	Professional		$254.20	$388.54	$1,893.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.92 / $104.03 / $538.29	Professional	26	$79.92	$104.03	$538.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.49 / $272.83 / $385.85	Professional	TC	$168.49	$272.83	$385.85
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $71.98 / $71.98 / $71.98	Facility	26	$71.98	$71.98	$71.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.23 / $837.61 / $1,015.90	Professional		$500.23	$837.61	$1,015.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $149.66 / $246.64 / $299.14	Professional	26	$149.66	$246.64	$299.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $407.76 / $590.97 / $716.76	Professional	TC	$407.76	$590.97	$716.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $191.33 / $298.61 / $718.34	Facility	26	$191.33	$298.61	$718.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.86 / $558.79 / $948.03	Professional		$439.86	$558.79	$948.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.77 / $162.41 / $275.82	Professional	26	$101.77	$162.41	$275.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $303.13 / $396.38 / $673.14	Professional	TC	$303.13	$396.38	$673.14
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $165.80 / $263.27 / $565.63	Facility	26	$165.80	$263.27	$565.63
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $538.51 / $854.08	Professional		$440.00	$538.51	$854.08
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $127.89 / $159.86 / $258.17	Professional	26	$127.89	$159.86	$258.17
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $312.11 / $369.43 / $605.84	Professional	TC	$312.11	$369.43	$605.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $804.96 / $804.96 / $804.96	Facility	26	$804.96	$804.96	$804.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.62 / $615.67 / $3,183.14	Professional		$338.62	$615.67	$3,183.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $111.73 / $226.11 / $720.15	Professional	26	$111.73	$226.11	$720.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $235.30 / $420.87 / $2,699.58	Professional	TC	$235.30	$420.87	$2,699.58
United Facility/Professional Professional Modifier Low / Median / High Price $307.83 / $549.45 / $987.07	Professional		$307.83	$549.45	$987.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.11 / $155.44 / $284.14	Professional	26	$93.11	$155.44	$284.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $231.78 / $416.42 / $708.61	Professional	TC	$231.78	$416.42	$708.61