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 $402.08 / $475.00 / $1,606.51	Professional		$402.08	$475.00	$1,606.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.50 / $140.00 / $281.24	Professional	26	$102.50	$140.00	$281.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $304.85 / $335.00 / $700.25	Professional	TC	$304.85	$335.00	$700.25
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 $679.58 / $1,150.99 / $1,395.99	Professional		$679.58	$1,150.99	$1,395.99
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 $590.55 / $858.89 / $1,041.71	Professional	TC	$590.55	$858.89	$1,041.71
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 $598.85 / $802.35 / $1,380.76	Professional		$598.85	$802.35	$1,380.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.66 / $192.71 / $327.51	Professional	26	$115.66	$192.71	$327.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $447.11 / $599.04 / $1,067.74	Professional	TC	$447.11	$599.04	$1,067.74
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 $598.85 / $784.46 / $1,208.91	Professional		$598.85	$784.46	$1,208.91
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 $447.11 / $584.05 / $902.58	Professional	TC	$447.11	$584.05	$902.58
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 $504.17 / $915.55 / $5,981.06	Professional		$504.17	$915.55	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.71 / $210.11 / $883.52	Professional	26	$109.71	$210.11	$883.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $369.64 / $696.50 / $5,438.76	Professional	TC	$369.64	$696.50	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $458.34 / $843.29 / $1,525.94	Professional		$458.34	$843.29	$1,525.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.90 / $161.69 / $385.91	Professional	26	$87.90	$161.69	$385.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $348.63 / $687.44 / $1,259.33	Professional	TC	$348.63	$687.44	$1,259.33