Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.37 / $86.37 / $86.37	Facility	26	$86.37	$86.37	$86.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.17 / $427.91 / $827.40	Professional		$358.17	$427.91	$827.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $119.21 / $197.62	Professional	26	$85.00	$119.21	$197.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $268.88 / $335.00 / $613.04	Professional	TC	$268.88	$335.00	$613.04
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $70.54 / $70.54 / $70.54	Facility	26	$70.54	$70.54	$70.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.90 / $1,004.94 / $1,218.84	Professional		$596.90	$1,004.94	$1,218.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $146.75 / $241.81 / $293.27	Professional	26	$146.75	$241.81	$293.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $526.54 / $763.14 / $925.58	Professional	TC	$526.54	$763.14	$925.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $188.26 / $293.83 / $706.85	Facility	26	$188.26	$293.83	$706.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.41 / $667.73 / $1,192.05	Professional		$524.41	$667.73	$1,192.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.61 / $159.19 / $272.19	Professional	26	$97.61	$159.19	$272.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $395.08 / $509.87 / $956.24	Professional	TC	$395.08	$509.87	$956.24
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $163.15 / $259.06 / $556.58	Facility	26	$163.15	$259.06	$556.58
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $525.77 / $679.10 / $1,061.38	Professional		$525.77	$679.10	$1,061.38
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $125.35 / $156.69 / $253.05	Professional	26	$125.35	$156.69	$253.05
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $400.42 / $517.19 / $808.33	Professional	TC	$400.42	$517.19	$808.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $789.92 / $789.92 / $789.92	Facility	26	$789.92	$789.92	$789.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $429.02 / $763.23 / $3,007.15	Professional		$429.02	$763.23	$3,007.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.31 / $165.61 / $848.54	Professional	26	$91.31	$165.61	$848.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $326.14 / $594.44 / $2,544.17	Professional	TC	$326.14	$594.44	$2,544.17
United Facility/Professional Professional Modifier Low / Median / High Price $393.74 / $704.05 / $1,200.44	Professional		$393.74	$704.05	$1,200.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.31 / $159.37 / $278.39	Professional	26	$91.31	$159.37	$278.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.43 / $558.24 / $922.90	Professional	TC	$302.43	$558.24	$922.90