Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.79 / $56.79 / $56.79	Facility	26	$56.79	$56.79	$56.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.61 / $344.63 / $572.33	Professional		$264.61	$344.63	$572.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.42 / $54.40 / $257.87	Professional	26	$47.42	$54.40	$257.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.19 / $287.83 / $1,477.69	Professional	TC	$217.19	$287.83	$1,477.69
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $46.64 / $46.64 / $46.64	Facility	26	$46.64	$46.64	$46.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.29 / $785.64 / $1,127.34	Professional		$516.29	$785.64	$1,127.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.43 / $134.88 / $193.56	Professional	26	$90.43	$134.88	$193.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $425.86 / $698.57 / $933.79	Professional	TC	$425.86	$698.57	$933.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $136.44 / $193.50 / $465.49	Facility	26	$136.44	$193.50	$465.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.02 / $616.16 / $941.79	Professional		$490.02	$616.16	$941.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.55 / $105.06 / $160.58	Professional	26	$83.55	$105.06	$160.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $406.47 / $511.11 / $781.22	Professional	TC	$406.47	$511.11	$781.22
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $107.44 / $176.90 / $366.53	Facility	26	$107.44	$176.90	$366.53
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $485.17 / $485.17 / $880.00	Professional		$485.17	$485.17	$880.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $82.72 / $82.72 / $150.04	Professional	26	$82.72	$82.72	$150.04
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $402.45 / $402.45 / $729.96	Professional	TC	$402.45	$402.45	$729.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $397.70 / $671.30 / $1,215.95	Professional		$397.70	$671.30	$1,215.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.63 / $106.07 / $199.46	Professional	26	$64.63	$106.07	$199.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $330.20 / $562.73 / $1,016.49	Professional	TC	$330.20	$562.73	$1,016.49
United Facility/Professional Professional Modifier Low / Median / High Price $383.87 / $661.38 / $1,113.51	Professional		$383.87	$661.38	$1,113.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.63 / $103.72 / $182.65	Professional	26	$64.63	$103.72	$182.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $317.95 / $562.73 / $930.86	Professional	TC	$317.95	$562.73	$930.86