Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.94 / $155.94 / $155.94	Facility	26	$155.94	$155.94	$155.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $478.02 / $879.49	Professional		$317.47	$478.02	$879.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $155.94 / $290.68	Professional	26	$131.81	$155.94	$290.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $322.08 / $536.74	Professional	TC	$185.65	$322.08	$536.74
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $130.72 / $130.72 / $130.72	Facility	26	$130.72	$130.72	$130.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $762.93 / $1,140.98 / $1,616.53	Professional		$762.93	$1,140.98	$1,616.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $252.66 / $374.26 / $530.24	Professional	26	$252.66	$374.26	$530.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $510.26 / $812.66 / $1,086.29	Professional	TC	$510.26	$812.66	$1,086.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $377.33 / $535.11 / $1,287.27	Facility	26	$377.33	$535.11	$1,287.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.66 / $904.91 / $1,495.93	Professional		$719.66	$904.91	$1,495.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $233.73 / $293.89 / $485.86	Professional	26	$233.73	$293.89	$485.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $485.92 / $611.01 / $987.49	Professional	TC	$485.92	$611.01	$987.49
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $297.11 / $489.22 / $1,013.60	Facility	26	$297.11	$489.22	$1,013.60
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $712.53 / $751.70 / $1,308.94	Professional		$712.53	$751.70	$1,308.94
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $231.42 / $244.14 / $425.13	Professional	26	$231.42	$244.14	$425.13
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $481.11 / $507.56 / $883.82	Professional	TC	$481.11	$507.56	$883.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $469.51 / $764.46 / $1,489.80	Professional		$469.51	$764.46	$1,489.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $188.39 / $285.79 / $559.86	Professional	26	$188.39	$285.79	$559.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $273.52 / $462.88 / $935.73	Professional	TC	$273.52	$462.88	$935.73
United Facility/Professional Professional Modifier Low / Median / High Price $469.51 / $733.60 / $1,489.10	Professional		$469.51	$733.60	$1,489.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $180.55 / $283.41 / $522.66	Professional	26	$180.55	$283.41	$522.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $273.52 / $452.36 / $867.51	Professional	TC	$273.52	$452.36	$867.51