Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.04 / $104.04 / $104.04	Facility	26	$104.04	$104.04	$104.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.32 / $475.00 / $1,314.71	Professional		$364.32	$475.00	$1,314.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.65 / $140.00 / $322.00	Professional	26	$100.65	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $325.86 / $349.37 / $758.97	Professional	TC	$325.86	$349.37	$758.97
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $85.51 / $85.51 / $85.51	Facility	26	$85.51	$85.51	$85.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $1,223.53 / $1,483.97	Professional		$723.84	$1,223.53	$1,483.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.62 / $292.10 / $354.28	Professional	26	$177.62	$292.10	$354.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $642.62 / $931.44 / $1,129.70	Professional	TC	$642.62	$931.44	$1,129.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $226.53 / $353.55 / $850.52	Facility	26	$226.53	$353.55	$850.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.92 / $841.02 / $1,428.06	Professional		$637.92	$841.02	$1,428.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.32 / $192.71 / $330.82	Professional	26	$116.32	$192.71	$330.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $486.19 / $640.97 / $1,084.90	Professional	TC	$486.19	$640.97	$1,084.90
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $196.31 / $311.72 / $669.70	Facility	26	$196.31	$311.72	$669.70
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $637.92 / $797.41 / $1,261.78	Professional		$637.92	$797.41	$1,261.78
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $151.74 / $188.73 / $306.33	Professional	26	$151.74	$188.73	$306.33
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $486.19 / $604.69 / $981.47	Professional	TC	$486.19	$604.69	$981.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $953.92 / $953.92 / $953.92	Facility	26	$953.92	$953.92	$953.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $535.14 / $972.98 / $5,981.06	Professional		$535.14	$972.98	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.71 / $210.11 / $672.78	Professional	26	$109.71	$210.11	$672.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $400.55 / $752.44 / $5,438.76	Professional	TC	$400.55	$752.44	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $486.49 / $894.94 / $1,619.66	Professional		$486.49	$894.94	$1,619.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.71 / $194.04 / $345.85	Professional	26	$109.71	$194.04	$345.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $376.78 / $723.73 / $1,312.58	Professional	TC	$376.78	$723.73	$1,312.58