Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.79 / $78.79 / $78.79	Facility	26	$78.79	$78.79	$78.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.07 / $475.00 / $1,039.68	Professional		$334.07	$475.00	$1,039.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.79 / $140.00 / $322.00	Professional	26	$78.79	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.76 / $335.00 / $580.01	Professional	TC	$252.76	$335.00	$580.01
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $64.48 / $64.48 / $64.48	Facility	26	$64.48	$64.48	$64.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.30 / $935.30 / $1,134.39	Professional		$550.30	$935.30	$1,134.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $133.36 / $221.49 / $268.64	Professional	26	$133.36	$221.49	$268.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $490.53 / $713.81 / $865.75	Professional	TC	$490.53	$713.81	$865.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $171.43 / $267.55 / $643.64	Facility	26	$171.43	$267.55	$643.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.68 / $633.59 / $1,168.25	Professional		$485.68	$633.59	$1,168.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.98 / $145.66 / $247.84	Professional	26	$86.98	$145.66	$247.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $370.98 / $490.83 / $951.12	Professional	TC	$370.98	$490.83	$951.12
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $148.56 / $235.89 / $506.80	Facility	26	$148.56	$235.89	$506.80
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $485.68 / $636.21 / $1,010.93	Professional		$485.68	$636.21	$1,010.93
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $114.70 / $145.38 / $231.54	Professional	26	$114.70	$145.38	$231.54
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $370.98 / $485.97 / $804.74	Professional	TC	$370.98	$485.97	$804.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $723.52 / $723.52 / $723.52	Facility	26	$723.52	$723.52	$723.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $399.73 / $738.64 / $3,348.15	Professional		$399.73	$738.64	$3,348.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $83.73 / $159.80 / $586.14	Professional	26	$83.73	$159.80	$586.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $306.20 / $563.75 / $2,941.88	Professional	TC	$306.20	$563.75	$2,941.88
United Facility/Professional Professional Modifier Low / Median / High Price $371.36 / $684.67 / $1,236.35	Professional		$371.36	$684.67	$1,236.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.07 / $139.04 / $255.28	Professional	26	$83.07	$139.04	$255.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $287.63 / $531.26 / $930.91	Professional	TC	$287.63	$531.26	$930.91