Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.67 / $74.67 / $74.67	Facility	26	$74.67	$74.67	$74.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $427.94 / $2,250.00	Professional		$275.00	$427.94	$2,250.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.56 / $74.67 / $414.00	Professional	26	$68.56	$74.67	$414.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.00 / $317.61 / $643.41	Professional	TC	$220.00	$317.61	$643.41
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $61.33 / $61.33 / $61.33	Facility	26	$61.33	$61.33	$61.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.61 / $974.62 / $1,398.34	Professional		$639.61	$974.62	$1,398.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $118.94 / $176.59 / $253.39	Professional	26	$118.94	$176.59	$253.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $520.67 / $856.54 / $1,144.95	Professional	TC	$520.67	$856.54	$1,144.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $178.56 / $253.22 / $609.16	Facility	26	$178.56	$253.22	$609.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.89 / $763.12 / $1,166.40	Professional		$606.89	$763.12	$1,166.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.69 / $137.93 / $210.82	Professional	26	$109.69	$137.93	$210.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $497.20 / $625.19 / $955.58	Professional	TC	$497.20	$625.19	$955.58
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $140.60 / $231.50 / $479.65	Facility	26	$140.60	$231.50	$479.65
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $600.88 / $600.88 / $1,089.86	Professional		$600.88	$600.88	$1,089.86
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $108.61 / $108.61 / $196.99	Professional	26	$108.61	$108.61	$196.99
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $492.28 / $492.28 / $892.89	Professional	TC	$492.28	$492.28	$892.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $479.37 / $808.69 / $1,533.13	Professional		$479.37	$808.69	$1,533.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $84.56 / $140.37 / $277.04	Professional	26	$84.56	$140.37	$277.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $394.81 / $663.92 / $1,271.18	Professional	TC	$394.81	$663.92	$1,271.18
United Facility/Professional Professional Modifier Low / Median / High Price $476.15 / $784.42 / $1,482.25	Professional		$476.15	$784.42	$1,482.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.68 / $136.54 / $239.88	Professional	26	$78.68	$136.54	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $389.87 / $663.92 / $1,164.08	Professional	TC	$389.87	$663.92	$1,164.08