Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.34 / $64.34 / $64.34	Facility	26	$64.34	$64.34	$64.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.84 / $438.14 / $613.11	Professional		$370.84	$438.14	$613.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.55 / $64.34 / $88.53	Professional	26	$56.55	$64.34	$88.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $184.58 / $219.07 / $291.50	Professional	52	$184.58	$219.07	$291.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $313.49 / $373.79 / $517.55	Professional	TC	$313.49	$373.79	$517.55
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $48.94 / $48.94 / $48.94	Facility	26	$48.94	$48.94	$48.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.50 / $1,128.89 / $1,442.91	Professional		$606.50	$1,128.89	$1,442.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.48 / $158.40 / $204.12	Professional	26	$84.48	$158.40	$204.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $533.90 / $991.03 / $1,238.79	Professional	TC	$533.90	$991.03	$1,238.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.87 / $205.44 / $494.22	Facility	26	$144.87	$205.44	$494.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.25 / $923.94 / $1,098.86	Professional		$865.25	$923.94	$1,098.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.61 / $125.59 / $149.37	Professional	26	$117.61	$125.59	$149.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $747.64 / $798.35 / $949.50	Professional	TC	$747.64	$798.35	$949.50
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $131.63 / $187.82 / $389.15	Facility	26	$131.63	$187.82	$389.15
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $855.25 / $863.49 / $865.25	Professional		$855.25	$863.49	$865.25
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $117.37 / $117.61 / $118.06	Professional	26	$117.37	$117.61	$118.06
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $737.19 / $746.12 / $747.64	Professional	TC	$737.19	$746.12	$747.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $516.41 / $889.37 / $2,899.13	Professional		$516.41	$889.37	$2,899.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.48 / $130.43 / $873.43	Professional	26	$69.48	$130.43	$873.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $431.01 / $755.06 / $2,483.58	Professional	TC	$431.01	$755.06	$2,483.58
United Facility/Professional Professional Modifier Low / Median / High Price $494.07 / $873.14 / $1,521.76	Professional		$494.07	$873.14	$1,521.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.48 / $131.37 / $242.95	Professional	26	$69.48	$131.37	$242.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $418.82 / $753.17 / $1,293.03	Professional	TC	$418.82	$753.17	$1,293.03