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 / $177.83	Facility	26	$97.72	$104.71	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $1,548.82	Professional		$323.59	$489.78	$1,548.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $141.25 / $407.38	Professional	26	$93.33	$141.25	$407.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $346.74 / $616.60	Professional	TC	$223.87	$346.74	$616.60
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $87.10 / $87.10	Facility	26	$75.86	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,380.38	Professional		$630.96	$933.25	$1,380.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $245.47 / $371.54	Professional	26	$169.82	$245.47	$371.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $707.95 / $1,023.29	Professional	TC	$467.74	$707.95	$1,023.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $331.13 / $912.01	Facility	26	$85.11	$331.13	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,230.27	Professional		$489.78	$758.58	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $194.98 / $323.59	Professional	26	$114.82	$194.98	$323.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $562.34 / $912.01	Professional	TC	$354.81	$562.34	$912.01
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $363.08 / $707.95	Facility	26	$295.12	$363.08	$707.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $933.25	Professional		$588.84	$588.84	$933.25
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $239.88	Professional	26	$154.88	$154.88	$239.88
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $436.52 / $691.83	Professional	TC	$436.52	$436.52	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $794.33 / $2,570.40	Professional		$407.38	$794.33	$2,570.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $269.15 / $776.25	Professional	26	$123.03	$269.15	$776.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $549.54 / $2,041.74	Professional	TC	$302.00	$549.54	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $1,288.25	Professional		$407.38	$724.44	$1,288.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $186.21 / $338.84	Professional	26	$107.15	$186.21	$338.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $537.03 / $933.25	Professional	TC	$302.00	$537.03	$933.25