Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.13 / $141.13 / $141.13	Facility	26	$141.13	$141.13	$141.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.97 / $246.47 / $843.30	Professional		$211.97	$246.47	$843.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $121.95 / $140.41 / $327.14	Professional	26	$121.95	$140.41	$327.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.27 / $99.69 / $144.84	Professional	TC	$81.27	$99.69	$144.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $109.71 / $109.71 / $109.71	Facility	26	$109.71	$109.71	$109.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.22 / $573.08 / $742.57	Professional		$304.22	$573.08	$742.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $188.49 / $351.39 / $452.82	Professional	26	$188.49	$351.39	$452.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $118.50 / $231.81 / $289.76	Professional	TC	$118.50	$231.81	$289.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $321.74 / $456.27 / $1,097.63	Facility	26	$321.74	$456.27	$1,097.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.97 / $576.53 / $897.77	Professional		$356.97	$576.53	$897.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $218.53 / $352.94 / $549.60	Professional	26	$218.53	$352.94	$549.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.86 / $223.59 / $348.17	Professional	TC	$138.86	$223.59	$348.17
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $292.33 / $416.38 / $864.28	Facility	26	$292.33	$416.38	$864.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $353.43 / $536.64 / $811.20	Professional		$353.43	$536.64	$811.20
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $216.36 / $328.52 / $496.60	Professional	26	$216.36	$328.52	$496.60
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $137.07 / $208.12 / $314.60	Professional	TC	$137.07	$208.12	$314.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.07 / $566.13 / $1,374.92	Professional		$279.07	$566.13	$1,374.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $151.25 / $286.00 / $824.31	Professional	26	$151.25	$286.00	$824.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $107.71 / $202.13 / $550.61	Professional	TC	$107.71	$202.13	$550.61
United Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $487.07 / $854.94	Professional		$262.08	$487.07	$854.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $149.50 / $274.32 / $497.54	Professional	26	$149.50	$274.32	$497.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.39 / $199.72 / $355.78	Professional	TC	$106.39	$199.72	$355.78