Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $112.20 / $165.96	Facility	26	$104.71	$112.20	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $1,412.54	Professional		$316.23	$478.63	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $194.98 / $575.44	Professional	26	$100.00	$194.98	$575.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $281.84 / $602.56	Professional	TC	$213.80	$281.84	$602.56
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $91.20 / $91.20	Facility	26	$79.43	$91.20	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,258.93	Professional		$575.44	$831.76	$1,258.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $263.03 / $389.05	Professional	26	$177.83	$263.03	$389.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $602.56 / $851.14	Professional	TC	$389.05	$602.56	$851.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $346.74 / $954.99	Facility	26	$89.13	$346.74	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,148.15	Professional		$426.58	$676.08	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $204.17 / $338.84	Professional	26	$117.49	$204.17	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $467.74 / $831.76	Professional	TC	$302.00	$467.74	$831.76
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $309.03 / $380.19 / $741.31	Facility	26	$309.03	$380.19	$741.31
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $870.96	Professional		$537.03	$537.03	$870.96
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $162.18 / $257.04	Professional	26	$162.18	$162.18	$257.04
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $371.54 / $616.60	Professional	TC	$371.54	$371.54	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,096.48 / $3,715.35	Professional		$446.68	$1,096.48	$3,715.35
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $269.15 / $691.83	Professional	26	$107.15	$269.15	$691.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $707.95 / $1,659.59	Professional	TC	$288.40	$707.95	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $831.76 / $1,318.26	Professional		$407.38	$831.76	$1,318.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $151.36 / $346.74	Professional	26	$100.00	$151.36	$346.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $630.96 / $1,047.13	Professional	TC	$288.40	$630.96	$1,047.13