Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.71 / $107.71 / $107.71	Facility	26	$107.71	$107.71	$107.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.25 / $435.38 / $988.32	Professional		$393.25	$435.38	$988.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.71 / $107.71 / $502.55	Professional	26	$90.71	$107.71	$502.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $275.48 / $327.67 / $459.73	Professional	TC	$275.48	$327.67	$459.73
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $90.41 / $90.41 / $90.41	Facility	26	$90.41	$90.41	$90.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.08 / $1,004.81 / $1,437.05	Professional		$662.08	$1,004.81	$1,437.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $173.74 / $256.74 / $367.18	Professional	26	$173.74	$256.74	$367.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $488.34 / $800.37 / $1,069.86	Professional	TC	$488.34	$800.37	$1,069.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $261.10 / $370.27 / $890.75	Facility	26	$261.10	$370.27	$890.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.41 / $790.19 / $1,322.69	Professional		$628.41	$790.19	$1,322.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $161.46 / $203.03 / $339.84	Professional	26	$161.46	$203.03	$339.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $466.96 / $587.16 / $977.08	Professional	TC	$466.96	$587.16	$977.08
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $205.59 / $338.52 / $701.38	Facility	26	$205.59	$338.52	$701.38
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $622.20 / $656.40 / $1,142.99	Professional		$622.20	$656.40	$1,142.99
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $159.86 / $168.65 / $293.67	Professional	26	$159.86	$168.65	$293.67
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $462.33 / $487.75 / $849.32	Professional	TC	$462.33	$487.75	$849.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $553.03 / $909.32 / $1,748.41	Professional		$553.03	$909.32	$1,748.41
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $131.22 / $215.36 / $476.10	Professional	26	$131.22	$215.36	$476.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $421.81 / $692.15 / $1,268.91	Professional	TC	$421.81	$692.15	$1,268.91
United Facility/Professional Professional Modifier Low / Median / High Price $506.95 / $888.21 / $1,517.62	Professional		$506.95	$888.21	$1,517.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $125.03 / $198.51 / $364.06	Professional	26	$125.03	$198.51	$364.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $386.66 / $673.83 / $1,170.27	Professional	TC	$386.66	$673.83	$1,170.27