Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $151.36	Facility	26	$89.13	$89.13	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $1,148.15	Professional		$229.09	$323.59	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $112.20 / $467.74	Professional	26	$77.62	$112.20	$467.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $173.78 / $363.08	Professional	TC	$138.04	$173.78	$363.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $70.79 / $70.79	Facility	26	$61.66	$70.79	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $831.76	Professional		$338.84	$549.54	$831.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $194.98 / $288.40	Professional	26	$117.49	$194.98	$288.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $380.19 / $537.03	Professional	TC	$234.42	$380.19	$537.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $263.03 / $724.44	Facility	26	$66.07	$263.03	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $588.84 / $1,000.00	Professional		$295.12	$588.84	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $204.17 / $346.74	Professional	26	$100.00	$204.17	$346.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $389.05 / $645.65	Professional	TC	$173.78	$389.05	$645.65
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $288.40 / $562.34	Facility	26	$234.42	$288.40	$562.34
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $933.25	Professional		$407.38	$588.84	$933.25
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $204.17 / $323.59	Professional	26	$141.25	$204.17	$323.59
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $389.05 / $616.60	Professional	TC	$263.03	$389.05	$616.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	26	$363.08	$363.08	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $2,398.83	Professional		$239.88	$446.68	$2,398.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $162.18 / $524.81	Professional	26	$87.10	$162.18	$524.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $302.00 / $977.24	Professional	TC	$151.36	$302.00	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $776.25	Professional		$239.88	$446.68	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $151.36 / $275.42	Professional	26	$87.10	$151.36	$275.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $288.40 / $512.86	Professional	TC	$151.36	$288.40	$512.86