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 / $85.11	Facility	26	$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $912.01	Professional		$245.47	$316.23	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $239.88	Professional	26	$70.79	$91.20	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $218.78 / $446.68	Professional	TC	$169.82	$218.78	$446.68
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 $512.86 / $741.31 / $1,122.02	Professional		$512.86	$741.31	$1,122.02
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 $371.54 / $562.34 / $812.83	Professional	TC	$371.54	$562.34	$812.83
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 / $602.56 / $1,000.00	Professional		$398.11	$602.56	$1,000.00
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 $302.00 / $446.68 / $741.31	Professional	TC	$302.00	$446.68	$741.31
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 $478.63 / $478.63 / $741.31	Professional		$478.63	$478.63	$741.31
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 $346.74 / $346.74 / $549.54	Professional	TC	$346.74	$346.74	$549.54
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 $331.13 / $616.60 / $3,090.30	Professional		$331.13	$616.60	$3,090.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $162.18 / $549.54	Professional	26	$89.13	$162.18	$549.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $436.52 / $2,630.27	Professional	TC	$234.42	$436.52	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $1,023.29	Professional		$331.13	$575.44	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $147.91 / $269.15	Professional	26	$89.13	$147.91	$269.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $416.87 / $758.58	Professional	TC	$234.42	$416.87	$758.58