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 $358.84 / $429.99 / $825.89	Professional		$358.84	$429.99	$825.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $119.21 / $197.62	Professional	26	$85.00	$119.21	$197.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.55 / $335.00 / $611.52	Professional	TC	$269.55	$335.00	$611.52
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 $599.79 / $1,008.81 / $1,223.54	Professional		$599.79	$1,008.81	$1,223.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.33 / $241.81 / $293.27	Professional	26	$147.33	$241.81	$293.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $529.22 / $767.01 / $930.27	Professional	TC	$529.22	$767.01	$930.27
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 $516.35 / $670.95 / $1,197.80	Professional		$516.35	$670.95	$1,197.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.34 / $159.84 / $272.19	Professional	26	$96.34	$159.84	$272.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $391.40 / $511.11 / $961.09	Professional	TC	$391.40	$511.11	$961.09
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 $528.30 / $657.08 / $1,066.50	Professional		$528.30	$657.08	$1,066.50
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $125.86 / $154.53 / $254.08	Professional	26	$125.86	$154.53	$254.08
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $402.45 / $500.54 / $812.43	Professional	TC	$402.45	$500.54	$812.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $789.92 / $789.92 / $789.92	Facility	26	$789.92	$789.92	$789.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $428.41 / $759.87 / $3,014.38	Professional		$428.41	$759.87	$3,014.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $90.95 / $164.45 / $597.70	Professional	26	$90.95	$164.45	$597.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $317.52 / $591.08 / $2,544.17	Professional	TC	$317.52	$591.08	$2,544.17
United Facility/Professional Professional Modifier Low / Median / High Price $391.93 / $726.81 / $1,196.02	Professional		$391.93	$726.81	$1,196.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.95 / $162.25 / $277.29	Professional	26	$90.95	$162.25	$277.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $316.76 / $591.08 / $917.63	Professional	TC	$316.76	$591.08	$917.63