Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.82 / $110.82 / $166.22	Facility	26	$110.82	$110.82	$166.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.30 / $475.00 / $4,230.35	Professional		$341.30	$475.00	$4,230.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.76 / $154.82 / $596.29	Professional	26	$110.76	$154.82	$596.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $226.87 / $335.00 / $521.00	Professional	TC	$226.87	$335.00	$521.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $91.28 / $91.28 / $91.28	Facility	26	$91.28	$91.28	$91.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.20 / $954.65 / $1,157.84	Professional		$567.20	$954.65	$1,157.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $189.26 / $311.45 / $377.74	Professional	26	$189.26	$311.45	$377.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $443.79 / $643.20 / $780.11	Professional	TC	$443.79	$643.20	$780.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $241.83 / $377.44 / $907.99	Facility	26	$241.83	$377.44	$907.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.86 / $671.87 / $1,290.96	Professional		$497.86	$671.87	$1,290.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.81 / $204.96 / $357.82	Professional	26	$134.81	$204.96	$357.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $336.47 / $461.85 / $970.24	Professional	TC	$336.47	$461.85	$970.24
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $209.57 / $332.78 / $714.95	Facility	26	$209.57	$332.78	$714.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $497.86 / $652.16 / $1,086.52	Professional		$497.86	$652.16	$1,086.52
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $161.38 / $204.96 / $325.79	Professional	26	$161.38	$204.96	$325.79
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $336.47 / $440.76 / $804.74	Professional	TC	$336.47	$440.76	$804.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,016.96 / $1,016.96 / $1,016.96	Facility	26	$1,016.96	$1,016.96	$1,016.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $424.93 / $887.71 / $6,199.75	Professional		$424.93	$887.71	$6,199.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $128.63 / $238.85 / $931.20	Professional	26	$128.63	$238.85	$931.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $275.30 / $529.48 / $5,551.18	Professional	TC	$275.30	$529.48	$5,551.18
United Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $695.34 / $1,336.54	Professional		$373.53	$695.34	$1,336.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.29 / $203.86 / $374.63	Professional	26	$117.29	$203.86	$374.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.24 / $502.23 / $913.80	Professional	TC	$256.24	$502.23	$913.80