Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.25 / $115.25 / $115.25	Facility	26	$115.25	$115.25	$115.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $335.52 / $617.04	Professional		$275.00	$335.52	$617.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.46 / $115.25 / $307.05	Professional	26	$83.46	$115.25	$307.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.49 / $235.21 / $341.24	Professional	TC	$168.49	$235.21	$341.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $94.74 / $94.74 / $94.74	Facility	26	$94.74	$94.74	$94.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.02 / $957.55 / $1,161.36	Professional		$573.02	$957.55	$1,161.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $196.25 / $323.06 / $391.82	Professional	26	$196.25	$323.06	$391.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $437.79 / $634.49 / $769.55	Professional	TC	$437.79	$634.49	$769.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.02 / $391.77 / $942.47	Facility	26	$251.02	$391.77	$942.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.93 / $638.72 / $1,069.16	Professional		$502.93	$638.72	$1,069.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $126.97 / $213.34 / $362.29	Professional	26	$126.97	$213.34	$362.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $334.95 / $425.39 / $722.26	Professional	TC	$334.95	$425.39	$722.26
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $217.53 / $345.42 / $742.10	Facility	26	$217.53	$345.42	$742.10
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $502.93 / $595.29 / $976.23	Professional		$502.93	$595.29	$976.23
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $167.98 / $209.98 / $339.11	Professional	26	$167.98	$209.98	$339.11
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $334.95 / $396.46 / $650.16	Professional	TC	$334.95	$396.46	$650.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $402.15 / $729.36 / $2,091.94	Professional		$402.15	$729.36	$2,091.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $120.90 / $224.28 / $711.82	Professional	26	$120.90	$224.28	$711.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $267.17 / $495.31 / $1,773.11	Professional	TC	$267.17	$495.31	$1,773.11
United Facility/Professional Professional Modifier Low / Median / High Price $365.59 / $671.27 / $1,217.15	Professional		$365.59	$671.27	$1,217.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.90 / $202.23 / $382.57	Professional	26	$120.90	$202.23	$382.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.69 / $488.16 / $814.64	Professional	TC	$244.69	$488.16	$814.64