Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.39 / $104.39 / $104.39	Facility	26	$104.39	$104.39	$104.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $475.00 / $1,243.47	Professional		$402.08	$475.00	$1,243.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.26 / $140.00 / $322.00	Professional	26	$100.26	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $305.30 / $335.00 / $702.57	Professional	TC	$305.30	$335.00	$702.57
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 $681.33 / $1,155.83 / $1,401.85	Professional		$681.33	$1,155.83	$1,401.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.62 / $293.07 / $355.45	Professional	26	$177.62	$293.07	$355.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $592.61 / $862.77 / $1,046.41	Professional	TC	$592.61	$862.77	$1,046.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $227.29 / $354.75 / $853.39	Facility	26	$227.29	$354.75	$853.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.88 / $805.07 / $1,381.98	Professional		$600.88	$805.07	$1,381.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.66 / $192.71 / $328.61	Professional	26	$115.66	$192.71	$328.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $449.14 / $601.76 / $1,068.35	Professional	TC	$449.14	$601.76	$1,068.35
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $196.97 / $312.77 / $671.96	Facility	26	$196.97	$312.77	$671.96
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $600.88 / $787.12 / $1,213.01	Professional		$600.88	$787.12	$1,213.01
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $151.74 / $192.79 / $306.33	Professional	26	$151.74	$192.79	$306.33
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $449.14 / $584.05 / $906.68	Professional	TC	$449.14	$584.05	$906.68
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $957.12 / $957.12 / $957.12	Facility	26	$957.12	$957.12	$957.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $504.97 / $915.84 / $5,981.06	Professional		$504.97	$915.84	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.71 / $203.91 / $894.00	Professional	26	$109.71	$203.91	$894.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $370.86 / $697.96 / $5,438.76	Professional	TC	$370.86	$697.96	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $459.06 / $851.25 / $1,476.80	Professional		$459.06	$851.25	$1,476.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.76 / $183.87 / $334.48	Professional	26	$107.76	$183.87	$334.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $349.35 / $659.13 / $1,163.08	Professional	TC	$349.35	$659.13	$1,163.08