Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.69 / $68.69 / $68.69	Facility	26	$68.69	$68.69	$68.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.46 / $472.35 / $1,974.00	Professional		$386.46	$472.35	$1,974.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.70 / $70.55 / $271.00	Professional	26	$60.70	$70.55	$271.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $304.64 / $403.66 / $676.14	Professional	TC	$304.64	$403.66	$676.14
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $56.43 / $56.43 / $56.43	Facility	26	$56.43	$56.43	$56.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.80 / $1,070.43 / $1,530.90	Professional		$698.80	$1,070.43	$1,530.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.06 / $162.41 / $232.27	Professional	26	$109.06	$162.41	$232.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $589.74 / $971.50 / $1,298.61	Professional	TC	$589.74	$971.50	$1,298.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.24 / $232.91 / $560.30	Facility	26	$164.24	$232.91	$560.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.30 / $835.30 / $1,276.74	Professional		$664.30	$835.30	$1,276.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.98 / $126.97 / $194.07	Professional	26	$100.98	$126.97	$194.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $563.32 / $708.33 / $1,082.67	Professional	TC	$563.32	$708.33	$1,082.67
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $129.32 / $212.94 / $441.19	Facility	26	$129.32	$212.94	$441.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $657.72 / $657.72 / $1,192.97	Professional		$657.72	$657.72	$1,192.97
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $99.98 / $99.98 / $181.34	Professional	26	$99.98	$99.98	$181.34
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $557.74 / $557.74 / $1,011.63	Professional	TC	$557.74	$557.74	$1,011.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $544.50 / $917.12 / $1,690.54	Professional		$544.50	$917.12	$1,690.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $79.29 / $132.52 / $258.92	Professional	26	$79.29	$132.52	$258.92
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $463.18 / $787.37 / $1,445.44	Professional	TC	$463.18	$787.37	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $521.28 / $917.12 / $1,548.12	Professional		$521.28	$917.12	$1,548.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.62 / $129.75 / $224.45	Professional	26	$73.62	$129.75	$224.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $442.19 / $743.63 / $1,323.67	Professional	TC	$442.19	$743.63	$1,323.67