Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.54 / $105.54 / $178.36	Facility	26	$105.54	$105.54	$178.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.17 / $507.63 / $3,158.75	Professional		$286.17	$507.63	$3,158.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.56 / $116.88 / $572.00	Professional	26	$85.56	$116.88	$572.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.00 / $360.64 / $539.75	Professional	TC	$220.00	$360.64	$539.75
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $86.68 / $86.68 / $86.68	Facility	26	$86.68	$86.68	$86.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.76 / $1,132.61 / $1,373.70	Professional		$673.76	$1,132.61	$1,373.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $180.52 / $296.94 / $360.14	Professional	26	$180.52	$296.94	$360.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $580.28 / $835.68 / $1,013.56	Professional	TC	$580.28	$835.68	$1,013.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $230.36 / $359.52 / $864.89	Facility	26	$230.36	$359.52	$864.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.87 / $752.81 / $1,254.85	Professional		$539.87	$752.81	$1,254.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $121.13 / $195.29 / $331.58	Professional	26	$121.13	$195.29	$331.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $368.08 / $557.51 / $940.91	Professional	TC	$368.08	$557.51	$940.91
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $199.62 / $316.98 / $681.01	Facility	26	$199.62	$316.98	$681.01
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $592.76 / $693.76 / $1,150.59	Professional		$592.76	$693.76	$1,150.59
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $153.77 / $192.22 / $310.42	Professional	26	$153.77	$192.22	$310.42
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $438.99 / $463.12 / $852.11	Professional	TC	$438.99	$463.12	$852.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $435.02 / $781.60 / $2,573.48	Professional		$435.02	$781.60	$2,573.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $120.71 / $231.82 / $653.20	Professional	26	$120.71	$231.82	$653.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $314.33 / $544.37 / $2,038.19	Professional	TC	$314.33	$544.37	$2,038.19
United Facility/Professional Professional Modifier Low / Median / High Price $431.99 / $768.90 / $1,320.04	Professional		$431.99	$768.90	$1,320.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.88 / $192.20 / $351.83	Professional	26	$111.88	$192.20	$351.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $299.54 / $528.64 / $1,011.69	Professional	TC	$299.54	$528.64	$1,011.69