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 $338.67 / $440.06 / $773.65	Professional		$338.67	$440.06	$773.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.48 / $60.88 / $250.66	Professional	26	$51.48	$60.88	$250.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $287.33 / $382.35 / $565.73	Professional	TC	$287.33	$382.35	$565.73
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 $660.70 / $1,242.58 / $1,601.28	Professional		$660.70	$1,242.58	$1,601.28
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 $593.50 / $1,148.88 / $1,405.37	Professional	TC	$593.50	$1,148.88	$1,405.37
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 $788.30 / $1,273.17 / $1,982.58	Professional		$788.30	$1,273.17	$1,982.58
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 $694.49 / $1,121.65 / $1,746.63	Professional	TC	$694.49	$1,121.65	$1,746.63
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 $780.50 / $1,185.08 / $1,791.40	Professional		$780.50	$1,185.08	$1,791.40
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 $687.61 / $1,044.04 / $1,578.20	Professional	TC	$687.61	$1,044.04	$1,578.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.53 / $948.62 / $2,879.21	Professional		$467.53	$948.62	$2,879.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.51 / $130.47 / $356.25	Professional	26	$65.51	$130.47	$356.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $403.63 / $794.21 / $2,522.94	Professional	TC	$403.63	$794.21	$2,522.94
United Facility/Professional Professional Modifier Low / Median / High Price $467.53 / $913.81 / $1,623.62	Professional		$467.53	$913.81	$1,623.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.09 / $118.81 / $214.51	Professional	26	$64.09	$118.81	$214.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $403.63 / $748.38 / $1,404.56	Professional	TC	$403.63	$748.38	$1,404.56