Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.90 / $96.90 / $96.90	Facility	26	$96.90	$96.90	$96.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.47 / $413.56 / $2,783.50	Professional		$280.47	$413.56	$2,783.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.53 / $99.83 / $278.93	Professional	26	$84.53	$99.83	$278.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.00 / $304.31 / $552.49	Professional	TC	$220.00	$304.31	$552.49
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $79.48 / $79.48 / $79.48	Facility	26	$79.48	$79.48	$79.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.22 / $1,013.65 / $1,229.41	Professional		$599.22	$1,013.65	$1,229.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $164.80 / $271.79 / $329.64	Professional	26	$164.80	$271.79	$329.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $511.08 / $741.86 / $899.77	Professional	TC	$511.08	$741.86	$899.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $211.22 / $329.66 / $793.05	Facility	26	$211.22	$329.66	$793.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.84 / $670.31 / $1,108.09	Professional		$457.84	$670.31	$1,108.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.07 / $179.18 / $304.27	Professional	26	$113.07	$179.18	$304.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $340.99 / $491.13 / $811.90	Professional	TC	$340.99	$491.13	$811.90
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $183.04 / $290.66 / $624.45	Facility	26	$183.04	$290.66	$624.45
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $527.79 / $624.73 / $1,024.50	Professional		$527.79	$624.73	$1,024.50
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $141.09 / $176.36 / $284.81	Professional	26	$141.09	$176.36	$284.81
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $386.72 / $441.64 / $750.65	Professional	TC	$386.72	$441.64	$750.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $395.56 / $732.12 / $2,326.86	Professional		$395.56	$732.12	$2,326.86
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $110.91 / $202.42 / $600.70	Professional	26	$110.91	$202.42	$600.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $280.56 / $481.91 / $2,909.00	Professional	TC	$280.56	$481.91	$2,909.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $647.28 / $1,243.58	Professional		$373.53	$647.28	$1,243.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.64 / $176.36 / $312.47	Professional	26	$98.64	$176.36	$312.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $271.04 / $465.79 / $877.07	Professional	TC	$271.04	$465.79	$877.07