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 / $156.06	Facility	26	$104.04	$104.04	$156.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.81 / $475.00 / $1,155.39	Professional		$347.81	$475.00	$1,155.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.50 / $140.00 / $548.00	Professional	26	$102.50	$140.00	$548.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.75 / $335.00 / $580.49	Professional	TC	$252.75	$335.00	$580.49
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 $596.90 / $1,005.91 / $1,220.02	Professional		$596.90	$1,005.91	$1,220.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.62 / $291.13 / $353.10	Professional	26	$177.62	$291.13	$353.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $493.18 / $714.78 / $866.92	Professional	TC	$493.18	$714.78	$866.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $225.76 / $352.36 / $847.65	Facility	26	$225.76	$352.36	$847.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.26 / $727.56 / $1,343.50	Professional		$525.26	$727.56	$1,343.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.92 / $192.71 / $327.27	Professional	26	$115.92	$192.71	$327.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $375.28 / $517.38 / $1,005.93	Professional	TC	$375.28	$517.38	$1,005.93
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $195.64 / $310.66 / $667.44	Facility	26	$195.64	$310.66	$667.44
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $525.26 / $688.07 / $1,086.26	Professional		$525.26	$688.07	$1,086.26
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 $373.52 / $489.29 / $804.74	Professional	TC	$373.52	$489.29	$804.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $950.80 / $950.80 / $950.80	Facility	26	$950.80	$950.80	$950.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $441.22 / $940.68 / $5,978.92	Professional		$441.22	$940.68	$5,978.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.80 / $214.33 / $733.09	Professional	26	$109.80	$214.33	$733.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $315.60 / $687.85 / $5,438.76	Professional	TC	$315.60	$687.85	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $396.26 / $819.87 / $1,413.14	Professional		$396.26	$819.87	$1,413.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.35 / $198.51 / $333.69	Professional	26	$109.35	$198.51	$333.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.91 / $621.87 / $987.79	Professional	TC	$286.91	$621.87	$987.79