Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.70 / $65.70 / $65.70	Facility	26	$65.70	$65.70	$65.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.05 / $475.00 / $1,908.74	Professional		$299.05	$475.00	$1,908.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.70 / $126.00 / $248.40	Professional	26	$65.70	$126.00	$248.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.23 / $335.00 / $514.10	Professional	TC	$231.23	$335.00	$514.10
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.84 / $53.84 / $53.84	Facility	26	$53.84	$53.84	$53.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.41 / $906.28 / $1,099.19	Professional		$533.41	$906.28	$1,099.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.22 / $184.74 / $224.06	Professional	26	$111.22	$184.74	$224.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $496.70 / $721.54 / $875.13	Professional	TC	$496.70	$721.54	$875.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $143.11 / $223.36 / $537.32	Facility	26	$143.11	$223.36	$537.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.47 / $607.57 / $1,126.74	Professional		$471.47	$607.57	$1,126.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.17 / $121.17 / $206.90	Professional	26	$72.17	$121.17	$206.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $376.06 / $485.11 / $920.77	Professional	TC	$376.06	$485.11	$920.77
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $124.02 / $196.93 / $423.09	Facility	26	$124.02	$196.93	$423.09
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $471.47 / $617.60 / $981.30	Professional		$471.47	$617.60	$981.30
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $95.41 / $121.05 / $192.61	Professional	26	$95.41	$121.05	$192.61
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $376.06 / $492.62 / $804.74	Professional	TC	$376.06	$492.62	$804.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $603.28 / $603.28 / $603.28	Facility	26	$603.28	$603.28	$603.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.34 / $708.21 / $2,819.97	Professional		$388.34	$708.21	$2,819.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.29 / $132.68 / $469.00	Professional	26	$69.29	$132.68	$469.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $310.27 / $566.60 / $2,495.53	Professional	TC	$310.27	$566.60	$2,495.53
United Facility/Professional Professional Modifier Low / Median / High Price $358.37 / $662.08 / $1,193.10	Professional		$358.37	$662.08	$1,193.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.29 / $122.44 / $211.25	Professional	26	$69.29	$122.44	$211.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $289.08 / $541.26 / $957.99	Professional	TC	$289.08	$541.26	$957.99