Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $156.29 / $156.29 / $156.29	Facility	26	$156.29	$156.29	$156.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.76 / $297.95 / $678.21	Professional		$235.76	$297.95	$678.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $156.29 / $826.00	Professional	26	$131.81	$156.29	$826.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.50 / $141.66 / $198.76	Professional	TC	$109.50	$141.66	$198.76
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $131.02 / $131.02 / $131.02	Facility	26	$131.02	$131.02	$131.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.12 / $707.06 / $1,011.21	Professional		$480.12	$707.06	$1,011.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $253.22 / $375.08 / $531.41	Professional	26	$253.22	$375.08	$531.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $226.90 / $355.01 / $479.80	Professional	TC	$226.90	$355.01	$479.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $378.18 / $536.29 / $1,290.15	Facility	26	$378.18	$536.29	$1,290.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.04 / $565.89 / $935.49	Professional		$450.04	$565.89	$935.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $234.25 / $294.55 / $486.92	Professional	26	$234.25	$294.55	$486.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.79 / $271.35 / $448.57	Professional	TC	$215.79	$271.35	$448.57
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $297.77 / $490.31 / $1,015.86	Facility	26	$297.77	$490.31	$1,015.86
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $445.59 / $470.08 / $818.56	Professional		$445.59	$470.08	$818.56
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $231.93 / $244.68 / $426.06	Professional	26	$231.93	$244.68	$426.06
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $213.66 / $225.40 / $392.50	Professional	TC	$213.66	$225.40	$392.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $355.12 / $583.70 / $1,052.42	Professional		$355.12	$583.70	$1,052.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $188.82 / $310.62 / $891.90	Professional	26	$188.82	$310.62	$891.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $166.30 / $264.61 / $497.06	Professional	TC	$166.30	$264.61	$497.06
United Facility/Professional Professional Modifier Low / Median / High Price $325.52 / $558.03 / $985.23	Professional		$325.52	$558.03	$985.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $180.95 / $283.41 / $523.86	Professional	26	$180.95	$283.41	$523.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.30 / $281.50 / $461.37	Professional	TC	$166.30	$281.50	$461.37