Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.08 / $116.08 / $116.08	Facility	26	$116.08	$116.08	$116.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.39 / $260.10 / $423.61	Professional		$202.39	$260.10	$423.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.00 / $116.08 / $221.23	Professional	26	$83.00	$116.08	$221.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.29 / $126.94 / $220.00	Professional	TC	$97.29	$126.94	$220.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $95.60 / $95.60 / $95.60	Facility	26	$95.60	$95.60	$95.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $727.92 / $1,234.18 / $1,496.88	Professional		$727.92	$1,234.18	$1,496.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $197.99 / $324.98 / $394.16	Professional	26	$197.99	$324.98	$394.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $623.44 / $909.18 / $1,102.71	Professional	TC	$623.44	$909.18	$1,102.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $252.55 / $394.16 / $948.21	Facility	26	$252.55	$394.16	$948.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.08 / $814.68 / $1,346.77	Professional		$476.08	$814.68	$1,346.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.81 / $214.63 / $364.48	Professional	26	$120.81	$214.63	$364.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.78 / $600.04 / $991.96	Professional	TC	$346.78	$600.04	$991.96
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $218.86 / $347.52 / $746.63	Facility	26	$218.86	$347.52	$746.63
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $641.48 / $744.12 / $1,245.17	Professional		$641.48	$744.12	$1,245.17
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $169.00 / $207.49 / $341.16	Professional	26	$169.00	$207.49	$341.16
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $472.48 / $538.63 / $917.13	Professional	TC	$472.48	$538.63	$917.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $485.04 / $876.15 / $1,915.39	Professional		$485.04	$876.15	$1,915.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $122.70 / $217.19 / $717.76	Professional	26	$122.70	$217.19	$717.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $362.34 / $659.18 / $1,435.54	Professional	TC	$362.34	$659.18	$1,435.54
United Facility/Professional Professional Modifier Low / Median / High Price $460.05 / $792.61 / $1,480.16	Professional		$460.05	$792.61	$1,480.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $122.70 / $200.13 / $386.12	Professional	26	$122.70	$200.13	$386.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $362.34 / $610.15 / $1,173.04	Professional	TC	$362.34	$610.15	$1,173.04