Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	26	$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $758.58	Professional		$288.40	$371.54	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $281.84 / $794.33	Professional	26	$107.15	$281.84	$794.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $269.15 / $812.83	Professional	TC	$190.55	$269.15	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,479.11	Professional		$707.95	$1,096.48	$1,479.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $354.81 / $478.63	Professional	26	$229.09	$354.81	$478.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $478.63 / $776.25 / $1,000.00	Professional	TC	$478.63	$776.25	$1,000.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $229.09 / $1,047.13 / $1,258.93	Facility	26	$229.09	$1,047.13	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $912.01	Professional		$575.44	$724.44	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $229.09 / $295.12	Professional	26	$181.97	$229.09	$295.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $489.78 / $630.96	Professional	TC	$389.05	$489.78	$630.96
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $977.24 / $977.24	Facility	26	$181.97	$977.24	$977.24
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,023.29	Professional		$562.34	$562.34	$1,023.29
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $181.97 / $537.03	Professional	26	$181.97	$181.97	$537.03
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $389.05 / $562.34	Professional	TC	$389.05	$389.05	$562.34
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	26	$630.96	$630.96	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $588.84 / $2,754.23	Professional		$281.84	$588.84	$2,754.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $457.09 / $588.84	Professional	26	$169.82	$457.09	$588.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $524.81 / $1,862.09	Professional	TC	$190.55	$524.81	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $794.33 / $1,445.44	Professional		$331.13	$794.33	$1,445.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $275.42 / $467.74	Professional	26	$123.03	$275.42	$467.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $512.86 / $954.99	Professional	TC	$208.93	$512.86	$954.99