Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $263.03	Facility	26	$109.65	$109.65	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $2,884.03	Professional		$331.13	$478.63	$2,884.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $194.98 / $524.81	Professional	26	$104.71	$194.98	$524.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $338.84 / $794.33	Professional	TC	$218.78	$338.84	$794.33
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $91.20 / $91.20	Facility	26	$79.43	$91.20	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,174.90	Professional		$537.03	$776.25	$1,174.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $263.03 / $389.05	Professional	26	$177.83	$263.03	$389.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $537.03 / $776.25	Professional	TC	$354.81	$537.03	$776.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $346.74 / $954.99	Facility	26	$89.13	$346.74	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,288.25	Professional		$478.63	$630.96	$1,288.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $204.17 / $338.84	Professional	26	$123.03	$204.17	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $426.58 / $912.01	Professional	TC	$323.59	$426.58	$912.01
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $309.03 / $380.19 / $741.31	Facility	26	$309.03	$380.19	$741.31
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,047.13	Professional		$501.19	$501.19	$1,047.13
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $162.18 / $257.04	Professional	26	$162.18	$162.18	$257.04
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $338.84 / $691.83	Professional	TC	$338.84	$338.84	$691.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility	26	$1,023.29	$1,023.29	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $933.25 / $6,165.95	Professional		$407.38	$933.25	$6,165.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $251.19 / $933.25	Professional	26	$125.89	$251.19	$933.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $562.34 / $5,495.41	Professional	TC	$257.04	$562.34	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $707.95 / $1,318.26	Professional		$371.54	$707.95	$1,318.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $194.98 / $354.81	Professional	26	$117.49	$194.98	$354.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $501.19 / $912.01	Professional	TC	$257.04	$501.19	$912.01