Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.59 / $43.59 / $43.59	Facility	26	$43.59	$43.59	$43.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.91 / $219.04 / $421.91	Professional		$168.91	$219.04	$421.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $132.60 / $175.44 / $330.08	Professional	TC	$132.60	$175.44	$330.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.00 / $36.00 / $36.00	Facility	26	$36.00	$36.00	$36.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.42 / $505.27 / $722.63	Professional		$335.42	$505.27	$722.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $265.27 / $430.02 / $574.82	Professional	TC	$265.27	$430.02	$574.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.28 / $149.30 / $359.17	Facility	26	$105.28	$149.30	$359.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.27 / $398.96 / $609.79	Professional		$317.27	$398.96	$609.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $252.70 / $317.75 / $485.67	Professional	TC	$252.70	$317.75	$485.67
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $82.90 / $136.50 / $282.81	Facility	26	$82.90	$136.50	$282.81
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $314.14 / $314.14 / $569.79	Professional		$314.14	$314.14	$569.79
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $250.20 / $250.20 / $453.81	Professional	TC	$250.20	$250.20	$453.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $253.67 / $423.26 / $822.40	Professional		$253.67	$423.26	$822.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $202.86 / $339.07 / $657.68	Professional	TC	$202.86	$339.07	$657.68
United Facility/Professional Professional Modifier Low / Median / High Price $246.06 / $415.96 / $703.08	Professional		$246.06	$415.96	$703.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.73 / $335.27 / $562.26	Professional	TC	$195.73	$335.27	$562.26