Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.34 / $65.34 / $65.34	Facility	26	$65.34	$65.34	$65.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.75 / $333.26 / $1,882.00	Professional		$273.75	$333.26	$1,882.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.15 / $65.34 / $336.00	Professional	26	$57.15	$65.34	$336.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $202.20 / $267.92 / $457.83	Professional	TC	$202.20	$267.92	$457.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.56 / $53.56 / $53.56	Facility	26	$53.56	$53.56	$53.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.58 / $783.31 / $1,101.54	Professional		$534.58	$783.31	$1,101.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.70 / $157.66 / $221.72	Professional	26	$109.70	$157.66	$221.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $449.50 / $658.20 / $879.83	Professional	TC	$449.50	$658.20	$879.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $157.50 / $223.36 / $537.32	Facility	26	$157.50	$223.36	$537.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.21 / $600.04 / $917.16	Professional		$477.21	$600.04	$917.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.85 / $120.53 / $184.22	Professional	26	$95.85	$120.53	$184.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $381.36 / $479.53 / $732.94	Professional	TC	$381.36	$479.53	$732.94
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $124.02 / $204.20 / $423.09	Facility	26	$124.02	$204.20	$423.09
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $472.48 / $472.48 / $856.99	Professional		$472.48	$472.48	$856.99
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $94.90 / $94.90 / $172.13	Professional	26	$94.90	$94.90	$172.13
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $377.58 / $377.58 / $684.85	Professional	TC	$377.58	$377.58	$684.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $382.29 / $638.73 / $1,157.06	Professional		$382.29	$638.73	$1,157.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.14 / $122.33 / $228.29	Professional	26	$74.14	$122.33	$228.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $306.86 / $513.98 / $928.77	Professional	TC	$306.86	$513.98	$928.77
United Facility/Professional Professional Modifier Low / Median / High Price $347.54 / $627.38 / $1,059.58	Professional		$347.54	$627.38	$1,059.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.14 / $121.32 / $209.06	Professional	26	$74.14	$121.32	$209.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $299.58 / $506.05 / $850.52	Professional	TC	$299.58	$506.05	$850.52