Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.72 / $86.72 / $86.72	Facility	26	$86.72	$86.72	$86.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.51 / $475.00 / $1,460.00	Professional		$354.51	$475.00	$1,460.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.42 / $128.85 / $198.44	Professional	26	$85.42	$128.85	$198.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.85 / $335.00 / $575.71	Professional	TC	$264.85	$335.00	$575.71
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $71.12 / $71.12 / $71.12	Facility	26	$71.12	$71.12	$71.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.91 / $996.24 / $1,208.29	Professional		$589.91	$996.24	$1,208.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $146.75 / $242.77 / $294.45	Professional	26	$146.75	$242.77	$294.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $519.87 / $753.46 / $913.84	Professional	TC	$519.87	$753.46	$913.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $189.03 / $295.02 / $709.72	Facility	26	$189.03	$295.02	$709.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.34 / $660.64 / $1,188.57	Professional		$517.34	$660.64	$1,188.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.99 / $159.84 / $273.29	Professional	26	$97.99	$159.84	$273.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $390.19 / $504.72 / $941.69	Professional	TC	$390.19	$504.72	$941.69
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $163.81 / $260.12 / $558.84	Facility	26	$163.81	$260.12	$558.84
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $520.19 / $671.89 / $1,050.10	Professional		$520.19	$671.89	$1,050.10
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $125.86 / $157.33 / $254.08	Professional	26	$125.86	$157.33	$254.08
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $394.33 / $509.32 / $804.74	Professional	TC	$394.33	$509.32	$804.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $793.04 / $793.04 / $793.04	Facility	26	$793.04	$793.04	$793.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $424.53 / $754.10 / $3,032.66	Professional		$424.53	$754.10	$3,032.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.67 / $169.09 / $854.80	Professional	26	$91.67	$169.09	$854.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $321.25 / $585.01 / $2,562.41	Professional	TC	$321.25	$585.01	$2,562.41
United Facility/Professional Professional Modifier Low / Median / High Price $390.13 / $705.13 / $1,189.42	Professional		$390.13	$705.13	$1,189.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.18 / $159.44 / $279.48	Professional	26	$91.18	$159.44	$279.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $298.45 / $550.89 / $957.42	Professional	TC	$298.45	$550.89	$957.42