Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.37 / $86.37 / $86.37	Facility	26	$86.37	$86.37	$86.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.89 / $322.89 / $513.26	Professional		$252.89	$322.89	$513.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.00 / $84.53 / $164.72	Professional	26	$63.00	$84.53	$164.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.49 / $220.00 / $380.41	Professional	TC	$168.49	$220.00	$380.41
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 $539.83 / $906.28 / $1,099.19	Professional		$539.83	$906.28	$1,099.19
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 $454.41 / $663.52 / $804.75	Professional	TC	$454.41	$663.52	$804.75
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 $448.99 / $603.28 / $1,018.14	Professional		$448.99	$603.28	$1,018.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.32 / $159.84 / $272.19	Professional	26	$97.32	$159.84	$272.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $314.55 / $443.43 / $748.38	Professional	TC	$314.55	$443.43	$748.38
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 $475.02 / $578.76 / $922.05	Professional		$475.02	$578.76	$922.05
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 $349.16 / $413.28 / $677.75	Professional	TC	$349.16	$413.28	$677.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $792.40 / $792.40 / $792.40	Facility	26	$792.40	$792.40	$792.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $341.94 / $614.52 / $3,081.89	Professional		$341.94	$614.52	$3,081.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.67 / $165.78 / $554.78	Professional	26	$91.67	$165.78	$554.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $242.53 / $435.80 / $2,625.91	Professional	TC	$242.53	$435.80	$2,625.91
United Facility/Professional Professional Modifier Low / Median / High Price $341.94 / $615.91 / $1,068.05	Professional		$341.94	$615.91	$1,068.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.67 / $161.75 / $282.41	Professional	26	$91.67	$161.75	$282.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $236.02 / $396.86 / $785.77	Professional	TC	$236.02	$396.86	$785.77