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 $361.35 / $475.00 / $3,973.85	Professional		$361.35	$475.00	$3,973.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.60 / $167.00 / $1,100.09	Professional	26	$100.60	$167.00	$1,100.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.74 / $335.00 / $818.10	Professional	TC	$251.74	$335.00	$818.10
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 $598.64 / $1,008.81 / $1,223.54	Professional		$598.64	$1,008.81	$1,223.54
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 $491.22 / $710.91 / $862.23	Professional	TC	$491.22	$710.91	$862.23
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 $526.79 / $725.04 / $1,350.56	Professional		$526.79	$725.04	$1,350.56
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 $372.00 / $513.11 / $1,005.93	Professional	TC	$372.00	$513.11	$1,005.93
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 $526.79 / $690.06 / $1,092.94	Professional		$526.79	$690.06	$1,092.94
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 $372.00 / $487.30 / $804.74	Professional	TC	$372.00	$487.30	$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 $469.06 / $977.67 / $6,025.38	Professional		$469.06	$977.67	$6,025.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.07 / $241.21 / $891.52	Professional	26	$123.07	$241.21	$891.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $314.02 / $685.37 / $5,457.89	Professional	TC	$314.02	$685.37	$5,457.89
United Facility/Professional Professional Modifier Low / Median / High Price $416.63 / $802.40 / $1,322.89	Professional		$416.63	$802.40	$1,322.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.29 / $190.95 / $352.80	Professional	26	$106.29	$190.95	$352.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $285.47 / $631.52 / $1,018.04	Professional	TC	$285.47	$631.52	$1,018.04