Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $1,380.38	Professional		$346.74	$478.63	$1,380.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $346.74	Professional	26	$85.11	$141.25	$346.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $812.83	Professional	TC	$257.04	$338.84	$812.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $70.79 / $70.79	Facility	26	$61.66	$70.79	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,230.27	Professional		$562.34	$831.76	$1,230.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $204.17 / $302.00	Professional	26	$138.04	$204.17	$302.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $660.69 / $933.25	Professional	TC	$426.58	$660.69	$933.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $269.15 / $741.31	Facility	26	$69.18	$269.15	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,122.02	Professional		$478.63	$660.69	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $158.49 / $263.03	Professional	26	$91.20	$158.49	$263.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $512.86 / $891.25	Professional	TC	$363.08	$512.86	$891.25
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $295.12 / $575.44	Facility	26	$239.88	$295.12	$575.44
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,000.00	Professional		$524.81	$524.81	$1,000.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $125.89 / $194.98	Professional	26	$125.89	$125.89	$194.98
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $398.11 / $776.25	Professional	TC	$398.11	$398.11	$776.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	26	$794.33	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $3,019.95	Professional		$398.11	$758.58	$3,019.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $162.18 / $851.14	Professional	26	$85.11	$162.18	$851.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $588.84 / $2,570.40	Professional	TC	$302.00	$588.84	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,148.15	Professional		$398.11	$707.95	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $151.36 / $263.03	Professional	26	$87.10	$151.36	$263.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $562.34 / $870.96	Professional	TC	$302.00	$562.34	$870.96