Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.94 / $113.94 / $113.94	Facility	26	$113.94	$113.94	$113.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $369.01 / $569.96	Professional		$275.00	$369.01	$569.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.20 / $113.94 / $525.66	Professional	26	$83.20	$113.94	$525.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.65 / $220.19 / $365.54	Professional	TC	$168.65	$220.19	$365.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $93.59 / $93.59 / $93.59	Facility	26	$93.59	$93.59	$93.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.50 / $1,222.57 / $1,482.80	Professional		$728.50	$1,222.57	$1,482.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $194.50 / $321.12 / $389.47	Professional	26	$194.50	$321.12	$389.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $617.36 / $901.45 / $1,093.33	Professional	TC	$617.36	$901.45	$1,093.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $248.72 / $388.19 / $933.85	Facility	26	$248.72	$388.19	$933.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.65 / $814.68 / $1,374.92	Professional		$571.65	$814.68	$1,374.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $129.65 / $210.76 / $357.91	Professional	26	$129.65	$210.76	$357.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $383.76 / $603.91 / $1,010.90	Professional	TC	$383.76	$603.91	$1,010.90
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $215.54 / $342.26 / $735.31	Facility	26	$215.54	$342.26	$735.31
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $641.48 / $731.29 / $1,245.17	Professional		$641.48	$731.29	$1,245.17
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $165.95 / $207.44 / $335.01	Professional	26	$165.95	$207.44	$335.01
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $475.53 / $501.67 / $923.04	Professional	TC	$475.53	$501.67	$923.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,048.24 / $1,048.24 / $1,048.24	Facility	26	$1,048.24	$1,048.24	$1,048.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $450.76 / $786.04 / $4,801.00	Professional		$450.76	$786.04	$4,801.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $121.44 / $230.11 / $1,632.94	Professional	26	$121.44	$230.11	$1,632.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $329.86 / $586.27 / $3,601.00	Professional	TC	$329.86	$586.27	$3,601.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.76 / $721.28 / $1,447.27	Professional		$450.76	$721.28	$1,447.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.90 / $205.53 / $368.60	Professional	26	$120.90	$205.53	$368.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $328.46 / $524.48 / $1,067.02	Professional	TC	$328.46	$524.48	$1,067.02