Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.93 / $90.93 / $90.93	Facility	26	$90.93	$90.93	$90.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.30 / $328.14 / $514.63	Professional		$257.30	$328.14	$514.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.63 / $90.93 / $202.33	Professional	26	$73.63	$90.93	$202.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.49 / $220.14 / $385.85	Professional	TC	$168.49	$220.14	$385.85
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $74.58 / $74.58 / $74.58	Facility	26	$74.58	$74.58	$74.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.42 / $961.42 / $1,166.06	Professional		$572.42	$961.42	$1,166.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $154.90 / $255.35 / $309.70	Professional	26	$154.90	$255.35	$309.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $490.50 / $706.07 / $856.36	Professional	TC	$490.50	$706.07	$856.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $198.21 / $309.36 / $744.20	Facility	26	$198.21	$309.36	$744.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.25 / $639.37 / $1,070.23	Professional		$458.25	$639.37	$1,070.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.93 / $168.22 / $285.67	Professional	26	$101.93	$168.22	$285.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $333.01 / $471.15 / $795.15	Professional	TC	$333.01	$471.15	$795.15
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $171.77 / $272.75 / $585.99	Facility	26	$171.77	$272.75	$585.99
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $503.44 / $603.03 / $977.22	Professional		$503.44	$603.03	$977.22
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $132.46 / $162.63 / $267.39	Professional	26	$132.46	$162.63	$267.39
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $370.98 / $438.60 / $720.11	Professional	TC	$370.98	$438.60	$720.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $833.76 / $833.76 / $833.76	Facility	26	$833.76	$833.76	$833.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $396.70 / $662.60 / $2,878.66	Professional		$396.70	$662.60	$2,878.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $96.00 / $178.59 / $561.99	Professional	26	$96.00	$178.59	$561.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $289.23 / $493.74 / $2,400.63	Professional	TC	$289.23	$493.74	$2,400.63
United Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $643.05 / $1,127.40	Professional		$360.90	$643.05	$1,127.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.00 / $162.13 / $292.95	Professional	26	$96.00	$162.13	$292.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $264.89 / $480.46 / $894.40	Professional	TC	$264.89	$480.46	$894.40