Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.11 / $62.11 / $62.11	Facility	26	$62.11	$62.11	$62.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.39 / $459.26 / $654.86	Professional		$403.39	$459.26	$654.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.87 / $62.11 / $94.69	Professional	26	$54.87	$62.11	$94.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $345.06 / $386.31 / $560.16	Professional	TC	$345.06	$386.31	$560.16
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.51 / $47.51 / $47.51	Facility	26	$47.51	$47.51	$47.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.63 / $1,179.78 / $1,520.34	Professional		$642.63	$1,179.78	$1,520.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.04 / $152.93 / $197.08	Professional	26	$82.04	$152.93	$197.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $573.36 / $1,081.34 / $1,323.26	Professional	TC	$573.36	$1,081.34	$1,323.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.82 / $198.28 / $476.98	Facility	26	$139.82	$198.28	$476.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.84 / $979.02 / $1,164.38	Professional		$916.84	$979.02	$1,164.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.08 / $121.92 / $145.00	Professional	26	$115.08	$121.92	$145.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $802.66 / $857.10 / $1,019.38	Professional	TC	$802.66	$857.10	$1,019.38
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $127.04 / $180.94 / $375.58	Facility	26	$127.04	$180.94	$375.58
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $901.93 / $914.97 / $916.84	Professional		$901.93	$914.97	$916.84
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $113.94 / $113.94 / $114.17	Professional	26	$113.94	$113.94	$114.17
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $787.99 / $801.03 / $802.66	Professional	TC	$787.99	$801.03	$802.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $476.23 / $880.78 / $3,905.69	Professional		$476.23	$880.78	$3,905.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.23 / $128.85 / $617.51	Professional	26	$71.23	$128.85	$617.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $407.63 / $755.85 / $3,576.06	Professional	TC	$407.63	$755.85	$3,576.06
United Facility/Professional Professional Modifier Low / Median / High Price $476.23 / $863.88 / $1,551.30	Professional		$476.23	$863.88	$1,551.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.69 / $118.84 / $218.36	Professional	26	$66.69	$118.84	$218.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $398.18 / $744.92 / $1,331.55	Professional	TC	$398.18	$744.92	$1,331.55