Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.34 / $65.34 / $111.07	Facility	26	$65.34	$65.34	$111.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.90 / $475.00 / $1,828.29	Professional		$245.90	$475.00	$1,828.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.34 / $140.00 / $344.70	Professional	26	$65.34	$140.00	$344.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.74 / $335.00 / $433.00	Professional	TC	$170.74	$335.00	$433.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.56 / $53.56 / $53.56	Facility	26	$53.56	$53.56	$53.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.24 / $666.42 / $808.27	Professional		$394.24	$666.42	$808.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.64 / $182.81 / $221.72	Professional	26	$110.64	$182.81	$221.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $333.64 / $483.61 / $586.54	Professional	TC	$333.64	$483.61	$586.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.58 / $220.97 / $531.57	Facility	26	$141.58	$220.97	$531.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.13 / $477.77 / $1,015.28	Professional		$347.13	$477.77	$1,015.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.54 / $120.53 / $204.69	Professional	26	$72.54	$120.53	$204.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $254.75 / $349.37 / $814.24	Professional	TC	$254.75	$349.37	$814.24
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $122.69 / $194.82 / $418.56	Facility	26	$122.69	$194.82	$418.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $347.13 / $454.72 / $956.51	Professional		$347.13	$454.72	$956.51
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $94.90 / $121.05 / $191.58	Professional	26	$94.90	$121.05	$191.58
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $252.23 / $330.41 / $791.91	Professional	TC	$252.23	$330.41	$791.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $596.96 / $596.96 / $596.96	Facility	26	$596.96	$596.96	$596.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $298.77 / $633.28 / $2,789.74	Professional		$298.77	$633.28	$2,789.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.48 / $135.32 / $531.65	Professional	26	$69.48	$135.32	$531.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $211.99 / $472.16 / $2,459.04	Professional	TC	$211.99	$472.16	$2,459.04
United Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $495.43 / $937.55	Professional		$87.90	$495.43	$937.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.70 / $118.41 / $222.26	Professional	26	$67.70	$118.41	$222.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.72 / $427.89 / $645.60	Professional	TC	$192.72	$427.89	$645.60