Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.74 / $86.74 / $86.74	Facility	26	$86.74	$86.74	$86.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.24 / $425.00 / $666.26	Professional		$293.24	$425.00	$666.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.49 / $112.50 / $184.06	Professional	26	$85.49	$112.50	$184.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $203.68 / $321.14 / $466.37	Professional	TC	$203.68	$321.14	$466.37
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 $487.99 / $822.14 / $997.14	Professional		$487.99	$822.14	$997.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $243.74 / $295.62	Professional	26	$147.91	$243.74	$295.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $399.08 / $578.39 / $701.51	Professional	TC	$399.08	$578.39	$701.51
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 $428.84 / $567.37 / $1,100.95	Professional		$428.84	$567.37	$1,100.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.12 / $160.49 / $279.72	Professional	26	$99.12	$160.49	$279.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.47 / $400.18 / $820.27	Professional	TC	$302.47	$400.18	$820.27
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 $428.84 / $536.04 / $1,024.99	Professional		$428.84	$536.04	$1,024.99
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $126.37 / $157.16 / $255.10	Professional	26	$126.37	$157.16	$255.10
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $302.47 / $378.09 / $804.74	Professional	TC	$302.47	$378.09	$804.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $795.36 / $795.36 / $795.36	Facility	26	$795.36	$795.36	$795.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $352.53 / $636.86 / $3,482.54	Professional		$352.53	$636.86	$3,482.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.67 / $165.78 / $642.27	Professional	26	$91.67	$165.78	$642.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $246.84 / $457.62 / $2,996.90	Professional	TC	$246.84	$457.62	$2,996.90
United Facility/Professional Professional Modifier Low / Median / High Price $320.48 / $588.24 / $1,066.97	Professional		$320.48	$588.24	$1,066.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.67 / $159.05 / $279.48	Professional	26	$91.67	$159.05	$279.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.81 / $434.27 / $825.93	Professional	TC	$228.81	$434.27	$825.93