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 / $263.03	Facility	26	$109.65	$109.65	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $2,290.87	Professional		$426.58	$602.56	$2,290.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $173.78 / $426.58	Professional	26	$107.15	$173.78	$426.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $416.87 / $1,071.52	Professional	TC	$323.59	$416.87	$1,071.52
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 $776.25 / $1,174.90 / $1,698.24	Professional		$776.25	$1,174.90	$1,698.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $257.04 / $380.19	Professional	26	$173.78	$257.04	$380.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $933.25 / $1,318.26	Professional	TC	$602.56	$933.25	$1,318.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $338.84 / $933.25	Facility	26	$87.10	$338.84	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,548.82	Professional		$676.08	$933.25	$1,548.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $199.53 / $331.13	Professional	26	$114.82	$199.53	$331.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $549.54 / $724.44 / $1,202.26	Professional	TC	$549.54	$724.44	$1,202.26
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $302.00 / $380.19 / $741.31	Facility	26	$302.00	$380.19	$741.31
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,148.15	Professional		$741.31	$741.31	$1,148.15
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $158.49 / $251.19	Professional	26	$158.49	$158.49	$251.19
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $575.44 / $575.44 / $891.25	Professional	TC	$575.44	$575.44	$891.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility	26	$1,000.00	$1,000.00	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,148.15 / $6,025.60	Professional		$575.44	$1,148.15	$6,025.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $218.78 / $933.25	Professional	26	$112.20	$218.78	$933.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $446.68 / $891.25 / $5,370.32	Professional	TC	$446.68	$891.25	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,047.13 / $1,698.24	Professional		$562.34	$1,047.13	$1,698.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $190.55 / $346.74	Professional	26	$112.20	$190.55	$346.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $446.68 / $831.76 / $1,412.54	Professional	TC	$446.68	$831.76	$1,412.54