Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.72 / $70.72 / $70.72	Facility	26	$70.72	$70.72	$70.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.12 / $425.00 / $803.81	Professional		$244.12	$425.00	$803.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.72 / $140.00 / $263.00	Professional	26	$70.72	$140.00	$263.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $122.06 / $150.19 / $340.23	Professional	52	$122.06	$150.19	$340.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.08 / $335.00 / $398.00	Professional	TC	$171.08	$335.00	$398.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $57.88 / $57.88 / $57.88	Facility	26	$57.88	$57.88	$57.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.14 / $683.82 / $829.38	Professional		$404.14	$683.82	$829.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.96 / $199.25 / $241.66	Professional	26	$119.96	$199.25	$241.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $334.33 / $484.58 / $587.72	Professional	TC	$334.33	$484.58	$587.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.83 / $240.08 / $577.54	Facility	26	$153.83	$240.08	$577.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.76 / $490.36 / $1,026.60	Professional		$355.76	$490.36	$1,026.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.59 / $130.19 / $222.39	Professional	26	$78.59	$130.19	$222.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $255.77 / $350.78 / $817.51	Professional	TC	$255.77	$350.78	$817.51
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $133.30 / $211.67 / $454.76	Facility	26	$133.30	$211.67	$454.76
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $355.76 / $466.02 / $966.48	Professional		$355.76	$466.02	$966.48
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $102.52 / $131.29 / $206.95	Professional	26	$102.52	$131.29	$206.95
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $253.24 / $331.74 / $791.91	Professional	TC	$253.24	$331.74	$791.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $650.32 / $650.32 / $650.32	Facility	26	$650.32	$650.32	$650.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $314.77 / $650.90 / $3,507.01	Professional		$314.77	$650.90	$3,507.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $145.03 / $571.29	Professional	26	$75.06	$145.03	$571.29
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $237.60 / $381.77 / $1,339.65	Professional	52	$237.60	$381.77	$1,339.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $214.76 / $479.64 / $2,477.29	Professional	TC	$214.76	$479.64	$2,477.29
United Facility/Professional Professional Modifier Low / Median / High Price $270.31 / $612.61 / $967.04	Professional		$270.31	$612.61	$967.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $132.16 / $489.61	Professional	26	$75.06	$132.16	$489.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.24 / $429.21 / $650.01	Professional	TC	$195.24	$429.21	$650.01