Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.39 / $86.39 / $86.39	Facility	26	$86.39	$86.39	$86.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.20 / $425.00 / $654.66	Professional		$288.20	$425.00	$654.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $119.21 / $198.33	Professional	26	$85.00	$119.21	$198.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $198.98 / $335.00 / $455.01	Professional	TC	$198.98	$335.00	$455.01
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $70.83 / $70.83 / $70.83	Facility	26	$70.83	$70.83	$70.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.26 / $807.63 / $979.54	Professional		$479.26	$807.63	$979.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.33 / $242.77 / $294.45	Professional	26	$147.33	$242.77	$294.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $389.74 / $564.86 / $685.09	Professional	TC	$389.74	$564.86	$685.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $188.26 / $293.83 / $706.85	Facility	26	$188.26	$293.83	$706.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.23 / $555.33 / $1,079.93	Professional		$421.23	$555.33	$1,079.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.94 / $159.84 / $274.39	Professional	26	$96.94	$159.84	$274.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.37 / $389.40 / $804.74	Professional	TC	$295.37	$389.40	$804.74
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $163.15 / $259.06 / $556.58	Facility	26	$163.15	$259.06	$556.58
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $421.23 / $523.90 / $994.51	Professional		$421.23	$523.90	$994.51
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $125.86 / $156.54 / $254.08	Professional	26	$125.86	$156.54	$254.08
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $295.37 / $367.36 / $763.97	Professional	TC	$295.37	$367.36	$763.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $792.16 / $792.16 / $792.16	Facility	26	$792.16	$792.16	$792.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.96 / $626.76 / $3,447.72	Professional		$346.96	$626.76	$3,447.72
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.31 / $165.11 / $665.40	Professional	26	$91.31	$165.11	$665.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $241.15 / $448.22 / $2,996.90	Professional	TC	$241.15	$448.22	$2,996.90
United Facility/Professional Professional Modifier Low / Median / High Price $315.42 / $578.88 / $1,050.11	Professional		$315.42	$578.88	$1,050.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.31 / $159.26 / $282.49	Professional	26	$91.31	$159.26	$282.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $224.11 / $427.05 / $746.12	Professional	TC	$224.11	$427.05	$746.12