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 / $110.82	Facility	26	$110.82	$110.82	$110.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.44 / $475.00 / $4,241.75	Professional		$336.44	$475.00	$4,241.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.21 / $140.00 / $596.29	Professional	26	$107.21	$140.00	$596.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $227.54 / $335.00 / $522.54	Professional	TC	$227.54	$335.00	$522.54
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 $568.36 / $956.58 / $1,160.20	Professional		$568.36	$956.58	$1,160.20
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 $445.13 / $645.14 / $782.46	Professional	TC	$445.13	$645.14	$782.46
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 $498.87 / $673.24 / $1,288.43	Professional		$498.87	$673.24	$1,288.43
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 $337.49 / $463.28 / $970.24	Professional	TC	$337.49	$463.28	$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 $498.87 / $653.50 / $1,086.52	Professional		$498.87	$653.50	$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 $337.49 / $442.09 / $804.74	Professional	TC	$337.49	$442.09	$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 $425.73 / $874.86 / $6,195.24	Professional		$425.73	$874.86	$6,195.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $126.25 / $234.58 / $931.20	Professional	26	$126.25	$234.58	$931.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $276.12 / $521.54 / $5,551.18	Professional	TC	$276.12	$521.54	$5,551.18
United Facility/Professional Professional Modifier Low / Median / High Price $395.05 / $743.66 / $1,245.98	Professional		$395.05	$743.66	$1,245.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.29 / $199.40 / $368.72	Professional	26	$117.29	$199.40	$368.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.95 / $490.06 / $855.49	Professional	TC	$256.95	$490.06	$855.49