Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.16 / $111.16 / $111.16	Facility	26	$111.16	$111.16	$111.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.74 / $475.00 / $2,053.60	Professional		$312.74	$475.00	$2,053.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.96 / $140.00 / $572.67	Professional	26	$97.96	$140.00	$572.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.79 / $285.82 / $433.49	Professional	TC	$214.79	$285.82	$433.49
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $91.56 / $91.56 / $91.56	Facility	26	$91.56	$91.56	$91.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.21 / $1,022.36 / $1,239.97	Professional		$606.21	$1,022.36	$1,239.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $189.84 / $312.41 / $378.91	Professional	26	$189.84	$312.41	$378.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $489.84 / $709.94 / $861.06	Professional	TC	$489.84	$709.94	$861.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $242.60 / $378.64 / $910.86	Facility	26	$242.60	$378.64	$910.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.01 / $676.75 / $1,250.44	Professional		$456.01	$676.75	$1,250.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.57 / $205.60 / $349.16	Professional	26	$127.57	$205.60	$349.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $326.06 / $471.15 / $885.94	Professional	TC	$326.06	$471.15	$885.94
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $210.23 / $333.83 / $717.21	Facility	26	$210.23	$333.83	$717.21
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $532.88 / $662.76 / $1,098.41	Professional		$532.88	$662.76	$1,098.41
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $161.88 / $198.77 / $326.82	Professional	26	$161.88	$198.77	$326.82
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $370.98 / $461.41 / $792.18	Professional	TC	$370.98	$461.41	$792.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $444.22 / $1,009.93 / $2,337.81	Professional		$444.22	$1,009.93	$2,337.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.57 / $231.22 / $687.65	Professional	26	$109.57	$231.22	$687.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $300.50 / $720.39 / $1,650.16	Professional	TC	$300.50	$720.39	$1,650.16
United Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $805.67 / $1,996.48	Professional		$87.90	$805.67	$1,996.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $156.32 / $358.69	Professional	26	$100.00	$156.32	$358.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.19 / $667.14 / $1,020.61	Professional	TC	$286.19	$667.14	$1,020.61