Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $104.71 / $154.88	Facility	26	$97.72	$104.71	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $501.19 / $1,737.80	Professional		$251.19	$501.19	$1,737.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $165.96 / $478.63	Professional	26	$102.33	$165.96	$478.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $371.54 / $1,023.29	Professional	TC	$295.12	$371.54	$1,023.29
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $87.10 / $87.10	Facility	26	$74.13	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,412.54	Professional		$645.65	$954.99	$1,412.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $245.47 / $363.08	Professional	26	$165.96	$245.47	$363.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $478.63 / $724.44 / $1,047.13	Professional	TC	$478.63	$724.44	$1,047.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $323.59 / $891.25	Facility	26	$83.18	$323.59	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,348.96	Professional		$562.34	$758.58	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $190.55 / $316.23	Professional	26	$109.65	$190.55	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $575.44 / $1,047.13	Professional	TC	$426.58	$575.44	$1,047.13
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $363.08 / $707.95	Facility	26	$288.40	$363.08	$707.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,047.13	Professional		$602.56	$602.56	$1,047.13
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $151.36 / $239.88	Professional	26	$151.36	$151.36	$239.88
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $446.68 / $446.68 / $812.83	Professional	TC	$446.68	$446.68	$812.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,000.00 / $6,025.60	Professional		$489.78	$1,000.00	$6,025.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $213.80 / $891.25	Professional	26	$109.65	$213.80	$891.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $707.95 / $5,495.41	Professional	TC	$346.74	$707.95	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $870.96 / $1,479.11	Professional		$457.09	$870.96	$1,479.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $181.97 / $331.13	Professional	26	$107.15	$181.97	$331.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $660.69 / $1,174.90	Professional	TC	$346.74	$660.69	$1,174.90