Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.98 / $58.98 / $58.98	Facility	26	$58.98	$58.98	$58.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.67 / $381.83 / $1,210.72	Professional		$263.67	$381.83	$1,210.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.84 / $61.17 / $269.95	Professional	26	$38.84	$61.17	$269.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $222.84 / $322.85 / $849.46	Professional	TC	$222.84	$322.85	$849.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.22 / $937.33 / $1,444.19	Professional		$555.22	$937.33	$1,444.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.31 / $146.21 / $225.27	Professional	26	$96.31	$146.21	$225.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $465.94 / $835.03 / $1,218.92	Professional	TC	$465.94	$835.03	$1,218.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.39 / $443.68 / $531.57	Facility	26	$102.39	$443.68	$531.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.59 / $655.86 / $830.69	Professional		$521.59	$655.86	$830.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.31 / $103.50 / $131.09	Professional	26	$82.31	$103.50	$131.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $439.28 / $552.36 / $699.60	Professional	TC	$439.28	$552.36	$699.60
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $80.62 / $418.56 / $418.56	Facility	26	$80.62	$418.56	$418.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $516.41 / $516.41 / $738.85	Professional		$516.41	$516.41	$738.85
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $81.48 / $81.48 / $116.59	Professional	26	$81.48	$81.48	$116.59
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $434.93 / $434.93 / $622.25	Professional	TC	$434.93	$434.93	$622.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $283.08 / $283.08 / $283.08	Facility	26	$283.08	$283.08	$283.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $327.47 / $801.61 / $1,671.98	Professional		$327.47	$801.61	$1,671.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.22 / $174.11 / $310.62	Professional	26	$67.22	$174.11	$310.62
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $274.41 / $662.09 / $1,397.94	Professional	TC	$274.41	$662.09	$1,397.94
United Facility/Professional Professional Modifier Low / Median / High Price $327.64 / $737.14 / $1,081.54	Professional		$327.64	$737.14	$1,081.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.15 / $80.98 / $177.26	Professional	26	$53.15	$80.98	$177.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.77 / $627.25 / $904.28	Professional	TC	$278.77	$627.25	$904.28