Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.45 / $77.14 / $131.13	Facility	26	$71.45	$77.14	$131.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.65 / $486.08 / $2,256.00	Professional		$378.65	$486.08	$2,256.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $78.38 / $406.60	Professional	26	$67.62	$78.38	$406.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $310.70 / $384.92 / $736.25	Professional	TC	$310.70	$384.92	$736.25
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $63.34 / $63.34 / $63.34	Facility	26	$63.34	$63.34	$63.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $736.07 / $1,083.63 / $1,523.86	Professional		$736.07	$1,083.63	$1,523.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $129.43 / $186.03 / $261.60	Professional	26	$129.43	$186.03	$261.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $641.87 / $950.44 / $1,262.26	Professional	TC	$641.87	$950.44	$1,262.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $185.30 / $262.77 / $632.14	Facility	26	$185.30	$262.77	$632.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.63 / $826.93 / $1,263.93	Professional		$657.63	$826.93	$1,263.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.28 / $142.44 / $217.72	Professional	26	$113.28	$142.44	$217.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $544.35 / $684.49 / $1,046.22	Professional	TC	$544.35	$684.49	$1,046.22
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $145.90 / $240.24 / $497.75	Facility	26	$145.90	$240.24	$497.75
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $651.12 / $651.12 / $1,181.00	Professional		$651.12	$651.12	$1,181.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $112.16 / $112.16 / $203.43	Professional	26	$112.16	$112.16	$203.43
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $538.97 / $538.97 / $977.57	Professional	TC	$538.97	$538.97	$977.57
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $185.80 / $185.80 / $185.80	Facility	26	$185.80	$185.80	$185.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $533.11 / $890.76 / $1,613.64	Professional		$533.11	$890.76	$1,613.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $88.93 / $147.02 / $288.29	Professional	26	$88.93	$147.02	$288.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $442.02 / $743.74 / $1,344.50	Professional	TC	$442.02	$743.74	$1,344.50
United Facility/Professional Professional Modifier Low / Median / High Price $518.88 / $875.68 / $1,479.06	Professional		$518.88	$875.68	$1,479.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.22 / $142.72 / $246.46	Professional	26	$87.22	$142.72	$246.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $429.80 / $733.83 / $1,231.23	Professional	TC	$429.80	$733.83	$1,231.23