Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.14 / $106.14 / $180.43	Facility	26	$106.14	$106.14	$180.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $475.00 / $3,926.35	Professional		$360.00	$475.00	$3,926.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.52 / $140.00 / $560.70	Professional	26	$98.52	$140.00	$560.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.39 / $335.00 / $575.08	Professional	TC	$250.39	$335.00	$575.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $87.25 / $87.25 / $87.25	Facility	26	$87.25	$87.25	$87.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.30 / $1,004.94 / $1,218.84	Professional		$596.30	$1,004.94	$1,218.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $181.11 / $297.89 / $361.31	Professional	26	$181.11	$297.89	$361.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $487.84 / $707.04 / $857.54	Professional	TC	$487.84	$707.04	$857.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $231.12 / $360.72 / $867.76	Facility	26	$231.12	$360.72	$867.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.76 / $726.86 / $1,345.35	Professional		$524.76	$726.86	$1,345.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $121.68 / $196.58 / $334.14	Professional	26	$121.68	$196.58	$334.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $372.90 / $512.46 / $1,003.32	Professional	TC	$372.90	$512.46	$1,003.32
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $200.29 / $318.04 / $683.28	Facility	26	$200.29	$318.04	$683.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $524.76 / $687.40 / $1,092.21	Professional		$524.76	$687.40	$1,092.21
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $154.79 / $199.93 / $312.47	Professional	26	$154.79	$199.93	$312.47
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $369.97 / $484.64 / $804.74	Professional	TC	$369.97	$484.64	$804.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $973.04 / $973.04 / $973.04	Facility	26	$973.04	$973.04	$973.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $475.94 / $991.16 / $5,378.21	Professional		$475.94	$991.16	$5,378.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.07 / $228.77 / $891.52	Professional	26	$123.07	$228.77	$891.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $313.20 / $683.50 / $5,457.89	Professional	TC	$313.20	$683.50	$5,457.89
United Facility/Professional Professional Modifier Low / Median / High Price $396.62 / $789.16 / $1,414.42	Professional		$396.62	$789.16	$1,414.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.88 / $199.59 / $341.10	Professional	26	$111.88	$199.59	$341.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $291.99 / $608.32 / $1,028.26	Professional	TC	$291.99	$608.32	$1,028.26