Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $912.01	Professional		$234.42	$302.00	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $181.97 / $562.34	Professional	26	$128.82	$181.97	$562.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $141.25 / $234.42	Professional	TC	$109.65	$141.25	$234.42
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $134.90 / $134.90	Facility	26	$114.82	$134.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,047.13	Professional		$478.63	$691.83	$1,047.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $251.19 / $363.08 / $549.54	Professional	26	$251.19	$363.08	$549.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $331.13 / $501.19	Professional	TC	$229.09	$331.13	$501.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $398.11 / $562.34 / $1,348.96	Facility	26	$398.11	$562.34	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $912.01	Professional		$446.68	$562.34	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $234.42 / $295.12 / $478.63	Professional	26	$234.42	$295.12	$478.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $269.15 / $436.52	Professional	TC	$213.80	$269.15	$436.52
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $436.52 / $549.54 / $1,071.52	Facility	26	$436.52	$549.54	$1,071.52
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $691.83	Professional		$446.68	$446.68	$691.83
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $234.42 / $234.42 / $363.08	Professional	26	$234.42	$234.42	$363.08
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $213.80 / $331.13	Professional	TC	$213.80	$213.80	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $1,047.13	Professional		$338.84	$575.44	$1,047.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $323.59 / $912.01	Professional	26	$181.97	$323.59	$912.01
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $257.04 / $501.19	Professional	TC	$154.88	$257.04	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $977.24	Professional		$346.74	$562.34	$977.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $288.40 / $512.86	Professional	26	$181.97	$288.40	$512.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $269.15 / $467.74	Professional	TC	$162.18	$269.15	$467.74