Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.41 / $84.41 / $84.41	Facility	26	$84.41	$84.41	$84.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.10 / $594.37 / $3,168.00	Professional		$447.10	$594.37	$3,168.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $157.33 / $557.65	Professional	26	$67.73	$157.33	$557.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $331.16 / $413.91 / $1,040.24	Professional	TC	$331.16	$413.91	$1,040.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $70.54 / $70.54 / $70.54	Facility	26	$70.54	$70.54	$70.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.56 / $1,101.59 / $1,575.47	Professional		$724.56	$1,101.59	$1,575.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $135.91 / $200.97 / $287.41	Professional	26	$135.91	$200.97	$287.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $588.64 / $963.60 / $1,288.06	Professional	TC	$588.64	$963.60	$1,288.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $203.83 / $289.05 / $695.36	Facility	26	$203.83	$289.05	$695.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.41 / $866.89 / $1,433.07	Professional		$689.41	$866.89	$1,433.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $126.09 / $158.55 / $262.11	Professional	26	$126.09	$158.55	$262.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $563.32 / $708.33 / $1,173.06	Professional	TC	$563.32	$708.33	$1,173.06
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $160.49 / $264.26 / $547.53	Facility	26	$160.49	$264.26	$547.53
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $682.59 / $720.11 / $1,253.94	Professional		$682.59	$720.11	$1,253.94
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $124.85 / $131.71 / $229.34	Professional	26	$124.85	$131.71	$229.34
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $557.74 / $588.40 / $1,024.58	Professional	TC	$557.74	$588.40	$1,024.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $609.77 / $1,055.60 / $3,503.70	Professional		$609.77	$1,055.60	$3,503.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $105.65 / $223.91 / $544.34	Professional	26	$105.65	$223.91	$544.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $507.56 / $831.28 / $1,615.70	Professional	TC	$507.56	$831.28	$1,615.70
United Facility/Professional Professional Modifier Low / Median / High Price $558.95 / $936.69 / $1,678.28	Professional		$558.95	$936.69	$1,678.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.69 / $155.03 / $283.55	Professional	26	$93.69	$155.03	$283.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $450.97 / $798.79 / $1,408.19	Professional	TC	$450.97	$798.79	$1,408.19