Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.68 / $103.68 / $155.52	Facility	26	$103.68	$103.68	$155.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.52 / $475.00 / $4,344.35	Professional		$361.52	$475.00	$4,344.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.04 / $140.00 / $550.79	Professional	26	$103.04	$140.00	$550.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $254.43 / $335.00 / $584.36	Professional	TC	$254.43	$335.00	$584.36
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $85.23 / $85.23 / $85.23	Facility	26	$85.23	$85.23	$85.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.39 / $1,010.75 / $1,225.89	Professional		$600.39	$1,010.75	$1,225.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.03 / $291.13 / $353.10	Professional	26	$177.03	$291.13	$353.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $496.51 / $719.62 / $872.79	Professional	TC	$496.51	$719.62	$872.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $225.76 / $352.36 / $847.65	Facility	26	$225.76	$352.36	$847.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.30 / $719.94 / $1,345.36	Professional		$528.30	$719.94	$1,345.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.25 / $192.07 / $326.39	Professional	26	$115.25	$192.07	$326.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $377.07 / $518.99 / $1,005.73	Professional	TC	$377.07	$518.99	$1,005.73
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $195.64 / $310.66 / $667.44	Facility	26	$195.64	$310.66	$667.44
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $528.30 / $682.38 / $1,088.99	Professional		$528.30	$682.38	$1,088.99
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $151.24 / $189.04 / $305.30	Professional	26	$151.24	$189.04	$305.30
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $377.07 / $487.04 / $804.74	Professional	TC	$377.07	$487.04	$804.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $950.80 / $950.80 / $950.80	Facility	26	$950.80	$950.80	$950.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $442.29 / $896.14 / $5,981.06	Professional		$442.29	$896.14	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $112.79 / $212.30 / $883.52	Professional	26	$112.79	$212.30	$883.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $314.80 / $585.98 / $5,438.76	Professional	TC	$314.80	$585.98	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $395.54 / $727.87 / $1,316.86	Professional		$395.54	$727.87	$1,316.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.35 / $189.40 / $384.62	Professional	26	$109.35	$189.40	$384.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.19 / $562.63 / $952.80	Professional	TC	$286.19	$562.63	$952.80