Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $2,754.23	Professional		$380.19	$524.81	$2,754.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $229.09 / $630.96	Professional	26	$123.03	$229.09	$630.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $794.33	Professional	TC	$257.04	$338.84	$794.33
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $104.71 / $104.71	Facility	26	$91.20	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,318.26	Professional		$602.56	$891.25	$1,318.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $295.12 / $436.52	Professional	26	$199.53	$295.12	$436.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $616.60 / $870.96	Professional	TC	$398.11	$616.60	$870.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $389.05 / $1,071.52	Facility	26	$100.00	$389.05	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,230.27	Professional		$501.19	$707.95	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $229.09 / $380.19	Professional	26	$131.83	$229.09	$380.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $478.63 / $870.96	Professional	TC	$363.08	$478.63	$870.96
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $346.74 / $426.58 / $831.76	Facility	26	$346.74	$426.58	$831.76
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,071.52	Professional		$562.34	$562.34	$1,071.52
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $181.97 / $281.84	Professional	26	$181.97	$181.97	$281.84
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $380.19 / $741.31	Professional	TC	$380.19	$380.19	$741.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $831.76 / $3,890.45	Professional		$446.68	$831.76	$3,890.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $239.88 / $776.25	Professional	26	$128.82	$239.88	$776.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $575.44 / $3,311.31	Professional	TC	$295.12	$575.44	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $776.25 / $1,288.25	Professional		$426.58	$776.25	$1,288.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $218.78 / $389.05	Professional	26	$128.82	$218.78	$389.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $549.54 / $912.01	Professional	TC	$295.12	$549.54	$912.01