Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.72 / $124.72 / $124.72	Facility	26	$124.72	$124.72	$124.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.90 / $475.00 / $2,372.59	Professional		$388.90	$475.00	$2,372.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.21 / $140.00 / $549.90	Professional	26	$119.21	$140.00	$549.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $260.14 / $335.00 / $467.21	Professional	TC	$260.14	$335.00	$467.21
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $102.51 / $102.51 / $102.51	Facility	26	$102.51	$102.51	$102.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.82 / $1,084.26 / $1,315.05	Professional		$638.82	$1,084.26	$1,315.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $211.97 / $349.17 / $423.49	Professional	26	$211.97	$349.17	$423.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $502.18 / $735.09 / $891.56	Professional	TC	$502.18	$735.09	$891.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $271.68 / $424.02 / $1,020.05	Facility	26	$271.68	$424.02	$1,020.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.16 / $728.65 / $1,323.27	Professional		$550.16	$728.65	$1,323.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $135.65 / $230.74 / $391.84	Professional	26	$135.65	$230.74	$391.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $380.12 / $502.91 / $959.19	Professional	TC	$380.12	$502.91	$959.19
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $235.44 / $373.85 / $803.19	Facility	26	$235.44	$373.85	$803.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $561.79 / $725.64 / $1,143.52	Professional		$561.79	$725.64	$1,143.52
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $181.69 / $227.11 / $366.77	Professional	26	$181.69	$227.11	$366.77
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $380.12 / $490.97 / $804.74	Professional	TC	$380.12	$490.97	$804.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $462.77 / $804.41 / $3,919.13	Professional		$462.77	$804.41	$3,919.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $130.28 / $237.23 / $771.93	Professional	26	$130.28	$237.23	$771.93
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $315.16 / $562.10 / $3,292.02	Professional	TC	$315.16	$562.10	$3,292.02
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $778.81 / $1,370.87	Professional		$426.58	$778.81	$1,370.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $130.28 / $213.29 / $397.20	Professional	26	$130.28	$213.29	$397.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.30 / $547.29 / $958.97	Professional	TC	$296.30	$547.29	$958.97