Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.82 / $110.82 / $188.39	Facility	26	$110.82	$110.82	$188.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.63 / $475.00 / $1,385.54	Professional		$340.63	$475.00	$1,385.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.72 / $157.83 / $661.50	Professional	26	$104.72	$157.83	$661.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $226.19 / $335.00 / $622.20	Professional	TC	$226.19	$335.00	$622.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $91.28 / $91.28 / $91.28	Facility	26	$91.28	$91.28	$91.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.03 / $952.71 / $1,155.50	Professional		$566.03	$952.71	$1,155.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $189.26 / $311.45 / $377.74	Professional	26	$189.26	$311.45	$377.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $442.46 / $641.27 / $777.77	Professional	TC	$442.46	$641.27	$777.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $241.83 / $377.44 / $907.99	Facility	26	$241.83	$377.44	$907.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.84 / $670.50 / $1,290.96	Professional		$496.84	$670.50	$1,290.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.22 / $204.96 / $357.82	Professional	26	$128.22	$204.96	$357.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $335.46 / $460.42 / $968.03	Professional	TC	$335.46	$460.42	$968.03
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $209.57 / $332.78 / $714.95	Facility	26	$209.57	$332.78	$714.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $496.84 / $650.84 / $1,086.52	Professional		$496.84	$650.84	$1,086.52
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $161.38 / $204.96 / $325.79	Professional	26	$161.38	$204.96	$325.79
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $335.46 / $439.43 / $804.74	Professional	TC	$335.46	$439.43	$804.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,016.96 / $1,016.96 / $1,016.96	Facility	26	$1,016.96	$1,016.96	$1,016.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $410.09 / $838.80 / $6,146.58	Professional		$410.09	$838.80	$6,146.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $126.64 / $231.29 / $921.60	Professional	26	$126.64	$231.29	$921.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $274.49 / $513.36 / $5,551.18	Professional	TC	$274.49	$513.36	$5,551.18
United Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $661.86 / $1,333.93	Professional		$87.90	$661.86	$1,333.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.08 / $204.50 / $357.59	Professional	26	$117.08	$204.50	$357.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.52 / $485.48 / $911.23	Professional	TC	$255.52	$485.48	$911.23