Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.57 / $83.57 / $83.57	Facility	26	$83.57	$83.57	$83.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $425.00 / $733.79	Professional		$322.64	$425.00	$733.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.57 / $119.21 / $191.16	Professional	26	$83.57	$119.21	$191.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $236.28 / $335.00 / $539.86	Professional	TC	$236.28	$335.00	$539.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $68.53 / $68.53 / $68.53	Facility	26	$68.53	$68.53	$68.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.16 / $902.42 / $1,094.50	Professional		$535.16	$902.42	$1,094.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.51 / $234.07 / $283.89	Professional	26	$141.51	$234.07	$283.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $461.14 / $668.35 / $810.61	Professional	TC	$461.14	$668.35	$810.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $182.14 / $284.27 / $683.86	Facility	26	$182.14	$284.27	$683.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.47 / $623.78 / $1,208.74	Professional		$471.47	$623.78	$1,208.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.09 / $154.04 / $263.33	Professional	26	$93.09	$154.04	$263.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $350.18 / $469.17 / $899.00	Professional	TC	$350.18	$469.17	$899.00
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $157.84 / $250.64 / $538.48	Facility	26	$157.84	$250.64	$538.48
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $471.47 / $589.33 / $1,016.97	Professional		$471.47	$589.33	$1,016.97
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $121.29 / $150.86 / $244.86	Professional	26	$121.29	$150.86	$244.86
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $350.18 / $437.72 / $804.74	Professional	TC	$350.18	$437.72	$804.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $764.32 / $764.32 / $764.32	Facility	26	$764.32	$764.32	$764.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $393.02 / $788.66 / $3,392.38	Professional		$393.02	$788.66	$3,392.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $88.78 / $160.44 / $667.05	Professional	26	$88.78	$160.44	$667.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $295.36 / $623.90 / $2,981.99	Professional	TC	$295.36	$623.90	$2,981.99
United Facility/Professional Professional Modifier Low / Median / High Price $357.29 / $714.58 / $1,107.25	Professional		$357.29	$714.58	$1,107.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.20 / $150.93 / $270.67	Professional	26	$87.20	$150.93	$270.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.93 / $600.59 / $866.89	Professional	TC	$281.93	$600.59	$866.89