Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.87 / $126.87 / $126.87	Facility	26	$126.87	$126.87	$126.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $364.10 / $425.10 / $611.38	Professional	TC	$364.10	$425.10	$611.38
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $98.47 / $98.47 / $98.47	Facility	26	$98.47	$98.47	$98.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $653.00 / $1,268.00 / $1,556.70	Professional	TC	$653.00	$1,268.00	$1,556.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $288.89 / $409.69 / $985.57	Facility	26	$288.89	$409.69	$985.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $763.71 / $1,233.44 / $1,920.72	Professional	TC	$763.71	$1,233.44	$1,920.72
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $262.50 / $374.56 / $776.04	Facility	26	$262.50	$374.56	$776.04
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $756.14 / $1,148.09 / $1,735.50	Professional	TC	$756.14	$1,148.09	$1,735.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $453.75 / $849.29 / $2,779.03	Professional	TC	$453.75	$849.29	$2,779.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $482.09 / $917.22 / $1,523.55	Professional	TC	$482.09	$917.22	$1,523.55