Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.89 / $42.89 / $102.62	Facility	26	$42.89	$42.89	$102.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.52 / $430.30 / $2,189.75	Professional		$350.52	$430.30	$2,189.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.71 / $50.67 / $229.68	Professional	26	$36.71	$50.67	$229.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $312.70 / $387.41 / $734.61	Professional	TC	$312.70	$387.41	$734.61
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $35.11 / $35.11 / $35.11	Facility	26	$35.11	$35.11	$35.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.16 / $976.11 / $1,400.68	Professional		$640.16	$976.11	$1,400.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.51 / $101.37 / $145.46	Professional	26	$68.51	$101.37	$145.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $571.65 / $939.03 / $1,255.22	Professional	TC	$571.65	$939.03	$1,255.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.76 / $145.72 / $350.55	Facility	26	$102.76	$145.72	$350.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.94 / $765.70 / $1,170.34	Professional		$608.94	$765.70	$1,170.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.05 / $79.28 / $121.17	Professional	26	$63.05	$79.28	$121.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $545.89 / $686.42 / $1,049.17	Professional	TC	$545.89	$686.42	$1,049.17
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $80.91 / $133.22 / $276.02	Facility	26	$80.91	$133.22	$276.02
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $602.91 / $602.91 / $1,093.55	Professional		$602.91	$602.91	$1,093.55
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $62.42 / $62.42 / $113.22	Professional	26	$62.42	$62.42	$113.22
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $540.49 / $540.49 / $980.33	Professional	TC	$540.49	$540.49	$980.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $495.69 / $841.29 / $1,522.35	Professional		$495.69	$841.29	$1,522.35
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.54 / $82.68 / $152.58	Professional	26	$49.54	$82.68	$152.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $444.86 / $758.61 / $1,369.77	Professional	TC	$444.86	$758.61	$1,369.77
United Facility/Professional Professional Modifier Low / Median / High Price $476.94 / $827.55 / $1,395.38	Professional		$476.94	$827.55	$1,395.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.83 / $80.25 / $139.72	Professional	26	$45.83	$80.25	$139.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $411.43 / $758.61 / $1,254.36	Professional	TC	$411.43	$758.61	$1,254.36