Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $457.09	Professional		$239.88	$295.12	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $102.33 / $144.54	Professional	26	$89.13	$102.33	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $186.21 / $354.81	Professional	TC	$144.54	$186.21	$354.81
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $89.13 / $89.13	Facility	26	$77.62	$89.13	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $1,047.13	Professional		$416.87	$691.83	$1,047.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $239.88 / $354.81	Professional	26	$144.54	$239.88	$354.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $478.63 / $691.83	Professional	TC	$281.84	$478.63	$691.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $354.81 / $891.25	Facility	26	$112.20	$354.81	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $1,258.93	Professional		$446.68	$794.33	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $269.15 / $426.58	Professional	26	$151.36	$269.15	$426.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $537.03 / $831.76	Professional	TC	$302.00	$537.03	$831.76
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $354.81 / $691.83	Facility	26	$288.40	$354.81	$691.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,148.15	Professional		$524.81	$741.31	$1,148.15
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $251.19 / $389.05	Professional	26	$177.83	$251.19	$389.05
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $501.19 / $776.25	Professional	TC	$346.74	$501.19	$776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $549.54 / $1,995.26	Professional		$275.42	$549.54	$1,995.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $208.93 / $724.44	Professional	26	$107.15	$208.93	$724.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $331.13 / $1,584.89	Professional	TC	$169.82	$331.13	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $549.54 / $954.99	Professional		$281.84	$549.54	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $194.98 / $354.81	Professional	26	$109.65	$194.98	$354.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $346.74 / $588.84	Professional	TC	$169.82	$346.74	$588.84