Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.14 / $88.14 / $132.21	Facility	26	$88.14	$88.14	$132.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $341.58 / $2,302.80	Professional		$275.00	$341.58	$2,302.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.01 / $131.24 / $607.04	Professional	26	$81.01	$131.24	$607.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.29 / $246.35 / $772.20	Professional	TC	$218.29	$246.35	$772.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $72.28 / $72.28 / $72.28	Facility	26	$72.28	$72.28	$72.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.16 / $903.39 / $1,095.68	Professional		$535.16	$903.39	$1,095.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $150.25 / $246.64 / $299.14	Professional	26	$150.25	$246.64	$299.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $452.85 / $656.74 / $796.53	Professional	TC	$452.85	$656.74	$796.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $192.09 / $299.80 / $721.22	Facility	26	$192.09	$299.80	$721.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.06 / $598.76 / $989.83	Professional		$399.06	$598.76	$989.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.19 / $163.06 / $276.92	Professional	26	$102.19	$163.06	$276.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $285.23 / $435.70 / $720.26	Professional	TC	$285.23	$435.70	$720.26
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $166.46 / $264.33 / $567.89	Facility	26	$166.46	$264.33	$567.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $471.47 / $575.13 / $915.16	Professional		$471.47	$575.13	$915.16
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $128.40 / $162.68 / $259.20	Professional	26	$128.40	$162.68	$259.20
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $343.07 / $406.07 / $665.93	Professional	TC	$343.07	$406.07	$665.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $348.48 / $837.86 / $2,150.10	Professional		$348.48	$837.86	$2,150.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $135.06 / $232.58 / $597.05	Professional	26	$135.06	$232.58	$597.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $238.92 / $426.23 / $2,614.00	Professional	TC	$238.92	$426.23	$2,614.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.35 / $538.55 / $1,029.73	Professional		$332.35	$538.55	$1,029.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.80 / $155.28 / $293.67	Professional	26	$91.80	$155.28	$293.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $238.92 / $434.36 / $769.39	Professional	TC	$238.92	$434.36	$769.39