Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.43 / $87.43 / $87.43	Facility	26	$87.43	$87.43	$87.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.88 / $324.10 / $514.64	Professional		$253.88	$324.10	$514.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.80 / $87.43 / $208.59	Professional	26	$70.80	$87.43	$208.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.49 / $220.00 / $366.23	Professional	TC	$168.49	$220.00	$366.23
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $71.69 / $71.69 / $71.69	Facility	26	$71.69	$71.69	$71.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.16 / $910.16 / $1,103.89	Professional		$542.16	$910.16	$1,103.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $149.08 / $245.68 / $297.97	Professional	26	$149.08	$245.68	$297.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $458.48 / $664.48 / $805.92	Professional	TC	$458.48	$664.48	$805.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.56 / $297.41 / $715.47	Facility	26	$190.56	$297.41	$715.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.67 / $605.85 / $1,027.84	Professional		$452.67	$605.85	$1,027.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.66 / $161.78 / $274.73	Professional	26	$98.66	$161.78	$274.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $318.02 / $444.08 / $749.46	Professional	TC	$318.02	$444.08	$749.46
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $165.14 / $262.22 / $563.36	Facility	26	$165.14	$262.22	$563.36
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $477.05 / $581.37 / $925.99	Professional		$477.05	$581.37	$925.99
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $127.38 / $156.40 / $257.14	Professional	26	$127.38	$156.40	$257.14
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $349.67 / $413.40 / $678.73	Professional	TC	$349.67	$413.40	$678.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $801.92 / $801.92 / $801.92	Facility	26	$801.92	$801.92	$801.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $343.40 / $615.44 / $3,101.53	Professional		$343.40	$615.44	$3,101.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $92.75 / $167.80 / $660.44	Professional	26	$92.75	$167.80	$660.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $243.73 / $435.13 / $2,625.91	Professional	TC	$243.73	$435.13	$2,625.91
United Facility/Professional Professional Modifier Low / Median / High Price $328.42 / $585.90 / $1,053.76	Professional		$328.42	$585.90	$1,053.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.75 / $161.28 / $282.77	Professional	26	$92.75	$161.28	$282.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $235.67 / $409.78 / $784.61	Professional	TC	$235.67	$409.78	$784.61