Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.95 / $50.95 / $50.95	Facility	26	$50.95	$50.95	$50.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.76 / $375.42 / $1,899.00	Professional		$306.76	$375.42	$1,899.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.74 / $50.95 / $296.95	Professional	26	$44.74	$50.95	$296.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $244.76 / $324.47 / $544.17	Professional	TC	$244.76	$324.47	$544.17
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $41.75 / $41.75 / $41.75	Facility	26	$41.75	$41.75	$41.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.75 / $850.54 / $1,222.36	Professional		$555.75	$850.54	$1,222.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.11 / $120.99 / $173.62	Professional	26	$81.11	$120.99	$173.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $474.64 / $784.57 / $1,048.75	Professional	TC	$474.64	$784.57	$1,048.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.97 / $174.39 / $419.51	Facility	26	$122.97	$174.39	$419.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.95 / $663.86 / $1,014.69	Professional		$527.95	$663.86	$1,014.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.84 / $94.10 / $143.83	Professional	26	$74.84	$94.10	$143.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $453.12 / $569.76 / $870.86	Professional	TC	$453.12	$569.76	$870.86
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $96.83 / $159.43 / $330.33	Facility	26	$96.83	$159.43	$330.33
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $522.73 / $522.73 / $948.12	Professional		$522.73	$522.73	$948.12
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $74.09 / $134.38	Professional	26	$74.09	$74.09	$134.38
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $448.63 / $448.63 / $813.72	Professional	TC	$448.63	$448.63	$813.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.32 / $670.47 / $1,441.47	Professional		$401.32	$670.47	$1,441.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.35 / $96.44 / $188.57	Professional	26	$57.35	$96.44	$188.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $347.55 / $572.26 / $1,239.43	Professional	TC	$347.55	$572.26	$1,239.43
United Facility/Professional Professional Modifier Low / Median / High Price $401.32 / $666.41 / $1,223.54	Professional		$401.32	$666.41	$1,223.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.35 / $93.84 / $163.93	Professional	26	$57.35	$93.84	$163.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $347.55 / $556.79 / $1,122.84	Professional	TC	$347.55	$556.79	$1,122.84