Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.69 / $53.69 / $53.69	Facility	26	$53.69	$53.69	$53.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.02 / $576.37 / $631.33	Professional		$412.02	$576.37	$631.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.70 / $42.70 / $53.69	Professional	26	$40.70	$42.70	$53.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $349.96 / $400.67 / $522.67	Professional	TC	$349.96	$400.67	$522.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.32 / $1,374.38 / $2,117.58	Professional		$905.32	$1,374.38	$2,117.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.46 / $132.78 / $204.57	Professional	26	$87.46	$132.78	$204.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $817.86 / $1,310.53 / $1,913.01	Professional	TC	$817.86	$1,310.53	$1,913.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.11 / $402.91 / $482.73	Facility	26	$88.11	$402.91	$482.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.54 / $898.49 / $1,250.92	Professional		$714.54	$898.49	$1,250.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.50 / $88.64 / $123.41	Professional	26	$70.50	$88.64	$123.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $644.04 / $809.84 / $1,127.51	Professional	TC	$644.04	$809.84	$1,127.51
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $69.38 / $380.10 / $380.10	Facility	26	$69.38	$380.10	$380.10
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $707.47 / $707.47 / $1,038.93	Professional		$707.47	$707.47	$1,038.93
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $69.80 / $69.80 / $102.50	Professional	26	$69.80	$69.80	$102.50
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $637.66 / $637.66 / $936.44	Professional	TC	$637.66	$637.66	$936.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $255.86 / $255.86 / $255.86	Facility	26	$255.86	$255.86	$255.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $511.91 / $1,156.33 / $2,392.94	Professional		$511.91	$1,156.33	$2,392.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.00 / $108.38 / $244.72	Professional	26	$48.00	$108.38	$244.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $463.91 / $1,057.40 / $2,148.21	Professional	TC	$463.91	$1,057.40	$2,148.21
United Facility/Professional Professional Modifier Low / Median / High Price $512.13 / $1,147.27 / $1,547.90	Professional		$512.13	$1,147.27	$1,547.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.17 / $117.33 / $188.71	Professional	26	$48.17	$117.33	$188.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $317.44 / $969.85 / $1,389.60	Professional	TC	$317.44	$969.85	$1,389.60