Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.88 / $60.88 / $60.88	Facility	26	$60.88	$60.88	$60.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.82 / $382.55 / $642.17	Professional		$302.82	$382.55	$642.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.55 / $60.88 / $259.00	Professional	26	$51.55	$60.88	$259.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $258.75 / $322.18 / $532.65	Professional	TC	$258.75	$322.18	$532.65
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.22 / $47.22 / $47.22	Facility	26	$47.22	$47.22	$47.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.41 / $1,078.73 / $1,390.12	Professional		$567.41	$1,078.73	$1,390.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.06 / $152.03 / $195.91	Professional	26	$81.06	$152.03	$195.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $498.00 / $967.82 / $1,194.22	Professional	TC	$498.00	$967.82	$1,194.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.97 / $197.08 / $474.11	Facility	26	$138.97	$197.08	$474.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.18 / $1,092.08 / $1,700.59	Professional		$676.18	$1,092.08	$1,700.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.82 / $151.52 / $235.95	Professional	26	$93.82	$151.52	$235.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $582.36 / $940.56 / $1,464.64	Professional	TC	$582.36	$940.56	$1,464.64
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $126.27 / $180.18 / $373.31	Facility	26	$126.27	$180.18	$373.31
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $669.48 / $1,016.52 / $1,536.60	Professional		$669.48	$1,016.52	$1,536.60
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $92.89 / $141.04 / $213.20	Professional	26	$92.89	$141.04	$213.20
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $576.60 / $875.48 / $1,323.40	Professional	TC	$576.60	$875.48	$1,323.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $408.89 / $882.22 / $2,452.27	Professional		$408.89	$882.22	$2,452.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.28 / $139.80 / $354.09	Professional	26	$69.28	$139.80	$354.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $342.94 / $654.88 / $2,098.17	Professional	TC	$342.94	$654.88	$2,098.17
United Facility/Professional Professional Modifier Low / Median / High Price $406.44 / $773.18 / $1,368.19	Professional		$406.44	$773.18	$1,368.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.54 / $116.01 / $213.20	Professional	26	$63.54	$116.01	$213.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $343.78 / $653.23 / $1,149.64	Professional	TC	$343.78	$653.23	$1,149.64