Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $117.49	Facility	26	$77.62	$77.62	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $436.52 / $1,096.48	Professional		$177.83	$436.52	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $141.25 / $346.74	Professional	26	$77.62	$141.25	$346.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $338.84 / $758.58	Professional	TC	$245.47	$338.84	$758.58
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $66.07 / $66.07	Facility	26	$56.23	$66.07	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,122.02	Professional		$512.86	$776.25	$1,122.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $186.21 / $275.42	Professional	26	$125.89	$186.21	$275.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $602.56 / $851.14	Professional	TC	$389.05	$602.56	$851.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $245.47 / $676.08	Facility	26	$63.10	$245.47	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,071.52	Professional		$436.52	$616.60	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $144.54 / $239.88	Professional	26	$81.28	$144.54	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $467.74 / $870.96	Professional	TC	$354.81	$467.74	$870.96
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $269.15 / $524.81	Facility	26	$218.78	$269.15	$524.81
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $933.25	Professional		$489.78	$489.78	$933.25
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $114.82 / $181.97	Professional	26	$114.82	$114.82	$181.97
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $371.54 / $724.44	Professional	TC	$371.54	$371.54	$724.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	26	$724.44	$724.44	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $758.58 / $3,311.31	Professional		$389.05	$758.58	$3,311.31
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $165.96 / $588.84	Professional	26	$83.18	$165.96	$588.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $575.44 / $2,951.21	Professional	TC	$288.40	$575.44	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $1,096.48	Professional		$371.54	$676.08	$1,096.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $138.04 / $245.47	Professional	26	$81.28	$138.04	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $537.03 / $870.96	Professional	TC	$288.40	$537.03	$870.96