Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.90 / $104.90 / $104.90	Facility	26	$104.90	$104.90	$104.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.87 / $363.57 / $627.50	Professional		$286.87	$363.57	$627.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.86 / $104.90 / $213.88	Professional	26	$88.86	$104.90	$213.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $198.01 / $251.86 / $347.94	Professional	TC	$198.01	$251.86	$347.94
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $88.40 / $88.40 / $88.40	Facility	26	$88.40	$88.40	$88.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.94 / $866.43 / $1,225.89	Professional		$574.94	$866.43	$1,225.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $169.90 / $250.18 / $357.80	Professional	26	$169.90	$250.18	$357.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $405.03 / $619.25 / $868.09	Professional	TC	$405.03	$619.25	$868.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $254.36 / $360.72 / $867.76	Facility	26	$254.36	$360.72	$867.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.35 / $684.49 / $1,131.54	Professional		$544.35	$684.49	$1,131.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $157.87 / $198.51 / $328.17	Professional	26	$157.87	$198.51	$328.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $386.48 / $485.97 / $803.37	Professional	TC	$386.48	$485.97	$803.37
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $200.29 / $329.78 / $683.28	Facility	26	$200.29	$329.78	$683.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $538.97 / $568.59 / $990.10	Professional		$538.97	$568.59	$990.10
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $156.31 / $164.90 / $287.14	Professional	26	$156.31	$164.90	$287.14
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $382.66 / $403.69 / $702.95	Professional	TC	$382.66	$403.69	$702.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $411.85 / $629.46 / $1,227.41	Professional		$411.85	$629.46	$1,227.41
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $127.32 / $192.92 / $378.37	Professional	26	$127.32	$192.92	$378.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $284.52 / $436.54 / $853.41	Professional	TC	$284.52	$436.54	$853.41
United Facility/Professional Professional Modifier Low / Median / High Price $408.45 / $612.29 / $1,142.64	Professional		$408.45	$612.29	$1,142.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.35 / $190.98 / $343.22	Professional	26	$111.35	$190.98	$343.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $284.52 / $426.80 / $766.91	Professional	TC	$284.52	$426.80	$766.91