Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.41 / $109.41 / $109.41	Facility	26	$109.41	$109.41	$109.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $495.41 / $1,413.19	Professional		$425.00	$495.41	$1,413.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.06 / $140.00 / $270.75	Professional	26	$107.06	$140.00	$270.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $368.50 / $822.89	Professional	TC	$335.00	$368.50	$822.89
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $89.84 / $89.84 / $89.84	Facility	26	$89.84	$89.84	$89.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.99 / $1,407.31 / $1,706.86	Professional		$830.99	$1,407.31	$1,706.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $186.35 / $306.61 / $371.87	Professional	26	$186.35	$306.61	$371.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $758.41 / $1,100.70 / $1,334.99	Professional	TC	$758.41	$1,100.70	$1,334.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $238.01 / $371.47 / $893.62	Facility	26	$238.01	$371.47	$893.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.34 / $943.28 / $1,598.78	Professional		$733.34	$943.28	$1,598.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $121.68 / $201.74 / $344.09	Professional	26	$121.68	$201.74	$344.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $574.49 / $749.45 / $1,252.47	Professional	TC	$574.49	$749.45	$1,252.47
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $206.26 / $327.51 / $703.64	Facility	26	$206.26	$327.51	$703.64
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $733.34 / $912.08 / $1,423.47	Professional		$733.34	$912.08	$1,423.47
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $158.85 / $197.57 / $320.67	Professional	26	$158.85	$197.57	$320.67
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $574.49 / $714.52 / $1,115.13	Professional	TC	$574.49	$714.52	$1,115.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,000.96 / $1,000.96 / $1,000.96	Facility	26	$1,000.96	$1,000.96	$1,000.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $603.47 / $1,120.09 / $5,967.97	Professional		$603.47	$1,120.09	$5,967.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $114.76 / $213.71 / $937.83	Professional	26	$114.76	$213.71	$937.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $475.19 / $884.36 / $5,400.50	Professional	TC	$475.19	$884.36	$5,400.50
United Facility/Professional Professional Modifier Low / Median / High Price $562.28 / $1,050.40 / $1,810.48	Professional		$562.28	$1,050.40	$1,810.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $113.49 / $192.66 / $349.88	Professional	26	$113.49	$192.66	$349.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $454.57 / $883.91 / $1,394.35	Professional	TC	$454.57	$883.91	$1,394.35