Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.72 / $70.72 / $70.72	Facility	26	$70.72	$70.72	$70.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.12 / $425.00 / $692.52	Professional		$304.12	$425.00	$692.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.72 / $113.36 / $167.00	Professional	26	$70.72	$113.36	$167.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.07 / $335.00 / $513.95	Professional	TC	$231.07	$335.00	$513.95
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $57.88 / $57.88 / $57.88	Facility	26	$57.88	$57.88	$57.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.40 / $1,008.81 / $1,223.54	Professional		$593.40	$1,008.81	$1,223.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.96 / $198.28 / $240.49	Professional	26	$119.96	$198.28	$240.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $556.99 / $810.53 / $983.06	Professional	TC	$556.99	$810.53	$983.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.06 / $238.89 / $574.67	Facility	26	$153.06	$238.89	$574.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.66 / $665.79 / $1,194.86	Professional		$519.66	$665.79	$1,194.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.94 / $130.19 / $223.50	Professional	26	$77.94	$130.19	$223.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $409.63 / $535.60 / $1,005.73	Professional	TC	$409.63	$535.60	$1,005.73
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $132.63 / $210.62 / $452.50	Facility	26	$132.63	$210.62	$452.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $524.25 / $655.30 / $1,058.31	Professional		$524.25	$655.30	$1,058.31
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $102.52 / $127.50 / $206.95	Professional	26	$102.52	$127.50	$206.95
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $421.73 / $527.16 / $851.36	Professional	TC	$421.73	$527.16	$851.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $647.12 / $647.12 / $647.12	Facility	26	$647.12	$647.12	$647.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $423.36 / $784.55 / $3,077.22	Professional		$423.36	$784.55	$3,077.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $135.50 / $680.25	Professional	26	$75.06	$135.50	$680.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $348.08 / $649.03 / $2,677.57	Professional	TC	$348.08	$649.03	$2,677.57
United Facility/Professional Professional Modifier Low / Median / High Price $416.63 / $769.81 / $1,236.99	Professional		$416.63	$769.81	$1,236.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.79 / $124.22 / $228.87	Professional	26	$72.79	$124.22	$228.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $327.69 / $592.84 / $1,060.77	Professional	TC	$327.69	$592.84	$1,060.77