Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $426.58 / $1,659.59	Professional		$134.90	$426.58	$1,659.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $131.83 / $309.03	Professional	26	$64.57	$131.83	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $338.84 / $758.58	Professional	TC	$223.87	$338.84	$758.58
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $54.95 / $54.95	Facility	26	$47.86	$54.95	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,096.48	Professional		$501.19	$758.58	$1,096.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $154.88 / $229.09	Professional	26	$104.71	$154.88	$229.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $616.60 / $870.96	Professional	TC	$398.11	$616.60	$870.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $204.17 / $562.34	Facility	26	$52.48	$204.17	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,023.29	Professional		$436.52	$602.56	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $120.23 / $199.53	Professional	26	$67.61	$120.23	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $478.63 / $870.96	Professional	TC	$346.74	$478.63	$870.96
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $223.87 / $446.68	Facility	26	$181.97	$223.87	$446.68
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $912.01	Professional		$467.74	$467.74	$912.01
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $95.50 / $151.36	Professional	26	$95.50	$95.50	$151.36
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $380.19 / $724.44	Professional	TC	$380.19	$380.19	$724.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $602.56 / $602.56 / $602.56	Facility	26	$602.56	$602.56	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $741.31 / $2,818.38	Professional		$371.54	$741.31	$2,818.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $134.90 / $467.74	Professional	26	$69.18	$134.90	$467.74
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $575.44 / $2,511.89	Professional	TC	$288.40	$575.44	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $660.69 / $1,071.52	Professional		$354.81	$660.69	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $114.82 / $208.93	Professional	26	$67.61	$114.82	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $537.03 / $891.25	Professional	TC	$288.40	$537.03	$891.25