Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.71 / $86.71 / $86.71	Facility	26	$86.71	$86.71	$86.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $425.00 / $810.65	Professional		$356.22	$425.00	$810.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $107.17 / $198.48	Professional	26	$85.00	$107.17	$198.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $266.52 / $328.28 / $607.74	Professional	TC	$266.52	$328.28	$607.74
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $71.12 / $71.12 / $71.12	Facility	26	$71.12	$71.12	$71.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.90 / $1,002.04 / $1,215.33	Professional		$596.90	$1,002.04	$1,215.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $243.74 / $295.62	Professional	26	$147.91	$243.74	$295.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $523.21 / $758.30 / $919.71	Professional	TC	$523.21	$758.30	$919.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $189.03 / $295.02 / $709.72	Facility	26	$189.03	$295.02	$709.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.83 / $667.73 / $1,192.05	Professional		$513.83	$667.73	$1,192.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.47 / $160.49 / $273.29	Professional	26	$97.47	$160.49	$273.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $387.59 / $507.24 / $953.81	Professional	TC	$387.59	$507.24	$953.81
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $163.81 / $260.12 / $558.84	Facility	26	$163.81	$260.12	$558.84
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $525.77 / $653.91 / $1,061.38	Professional		$525.77	$653.91	$1,061.38
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $126.37 / $155.15 / $255.10	Professional	26	$126.37	$155.15	$255.10
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $399.40 / $496.75 / $806.28	Professional	TC	$399.40	$496.75	$806.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $795.52 / $795.52 / $795.52	Facility	26	$795.52	$795.52	$795.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.57 / $759.87 / $3,018.44	Professional		$426.57	$759.87	$3,018.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $92.03 / $166.46 / $850.86	Professional	26	$92.03	$166.46	$850.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $323.29 / $589.73 / $2,546.60	Professional	TC	$323.29	$589.73	$2,546.60
United Facility/Professional Professional Modifier Low / Median / High Price $392.65 / $700.49 / $1,198.22	Professional		$392.65	$700.49	$1,198.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.40 / $150.13 / $280.58	Professional	26	$86.40	$150.13	$280.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $300.62 / $574.07 / $1,000.85	Professional	TC	$300.62	$574.07	$1,000.85