Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $147.91	Facility	26	$85.11	$85.11	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $977.24	Professional		$275.42	$426.58	$977.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $138.04 / $398.11	Professional	26	$85.11	$138.04	$398.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $302.00 / $588.84	Professional	TC	$190.55	$302.00	$588.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $70.79 / $70.79	Facility	26	$61.66	$70.79	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $977.24	Professional		$446.68	$660.69	$977.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $204.17 / $302.00	Professional	26	$138.04	$204.17	$302.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $478.63 / $691.83	Professional	TC	$309.03	$478.63	$691.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $269.15 / $741.31	Facility	26	$69.18	$269.15	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $1,047.13	Professional		$398.11	$537.03	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $158.49 / $263.03	Professional	26	$91.20	$158.49	$263.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $371.54 / $776.25	Professional	TC	$281.84	$371.54	$776.25
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $295.12 / $575.44	Facility	26	$239.88	$295.12	$575.44
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $851.14	Professional		$416.87	$416.87	$851.14
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $125.89 / $199.53	Professional	26	$125.89	$125.89	$199.53
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $295.12 / $602.56	Professional	TC	$295.12	$295.12	$602.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	26	$794.33	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $630.96 / $3,467.37	Professional		$323.59	$630.96	$3,467.37
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $165.96 / $660.69	Professional	26	$87.10	$165.96	$660.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $467.74 / $3,019.95	Professional	TC	$223.87	$467.74	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $588.84 / $1,000.00	Professional		$316.23	$588.84	$1,000.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $151.36 / $275.42	Professional	26	$89.13	$151.36	$275.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $436.52 / $741.31	Professional	TC	$223.87	$436.52	$741.31