Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.34 / $109.34 / $109.34	Facility	26	$109.34	$109.34	$109.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.06 / $330.29 / $433.26	Professional		$259.06	$330.29	$433.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.66 / $106.52 / $143.94	Professional	26	$93.66	$106.52	$143.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.63 / $216.31 / $289.23	Professional	TC	$154.63	$216.31	$289.23
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $84.65 / $84.65 / $84.65	Facility	26	$84.65	$84.65	$84.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.33 / $801.09 / $1,032.33	Professional		$425.33	$801.09	$1,032.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $145.52 / $272.19 / $350.76	Professional	26	$145.52	$272.19	$350.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $286.18 / $545.26 / $681.57	Professional	TC	$286.18	$545.26	$681.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $248.47 / $352.36 / $847.65	Facility	26	$248.47	$352.36	$847.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.84 / $812.13 / $1,264.65	Professional		$502.84	$812.13	$1,264.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $168.76 / $272.56 / $424.43	Professional	26	$168.76	$272.56	$424.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $334.09 / $539.57 / $840.22	Professional	TC	$334.09	$539.57	$840.22
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $225.76 / $321.55 / $667.44	Facility	26	$225.76	$321.55	$667.44
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $497.87 / $755.94 / $1,142.70	Professional		$497.87	$755.94	$1,142.70
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $167.09 / $253.70 / $383.50	Professional	26	$167.09	$253.70	$383.50
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $330.78 / $502.24 / $759.20	Professional	TC	$330.78	$502.24	$759.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $310.51 / $559.13 / $2,013.87	Professional		$310.51	$559.13	$2,013.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $116.71 / $218.51 / $716.57	Professional	26	$116.71	$218.51	$716.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $190.57 / $368.96 / $1,590.04	Professional	TC	$190.57	$368.96	$1,590.04
United Facility/Professional Professional Modifier Low / Median / High Price $318.99 / $559.13 / $954.27	Professional		$318.99	$559.13	$954.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $115.74 / $211.04 / $382.07	Professional	26	$115.74	$211.04	$382.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $193.98 / $348.99 / $572.20	Professional	TC	$193.98	$348.99	$572.20