Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $231.10 / $231.10 / $231.10	Facility	26	$231.10	$231.10	$231.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.94 / $596.72 / $6,232.50	Professional		$447.94	$596.72	$6,232.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $198.28 / $339.58 / $1,838.25	Professional	26	$198.28	$339.58	$1,838.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $209.04 / $306.66 / $487.45	Professional	TC	$209.04	$306.66	$487.45
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $193.79 / $193.79 / $193.79	Facility	26	$193.79	$193.79	$193.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.65 / $1,182.80 / $1,691.61	Professional		$799.65	$1,182.80	$1,691.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $373.24 / $549.57 / $785.98	Professional	26	$373.24	$549.57	$785.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $426.41 / $677.51 / $905.63	Professional	TC	$426.41	$677.51	$905.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $558.41 / $791.91 / $1,905.05	Facility	26	$558.41	$791.91	$1,905.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.95 / $945.52 / $1,595.74	Professional		$751.95	$945.52	$1,595.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $345.99 / $435.05 / $719.20	Professional	26	$345.99	$435.05	$719.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $405.96 / $510.46 / $861.50	Professional	TC	$405.96	$510.46	$861.50
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $439.70 / $724.00 / $1,500.04	Facility	26	$439.70	$724.00	$1,500.04
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $744.50 / $785.43 / $1,367.68	Professional		$744.50	$785.43	$1,367.68
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $342.56 / $361.40 / $629.29	Professional	26	$342.56	$361.40	$629.29
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $401.94 / $424.04 / $738.38	Professional	TC	$401.94	$424.04	$738.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $597.65 / $1,120.36 / $6,440.25	Professional		$597.65	$1,120.36	$6,440.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $278.91 / $537.73 / $1,699.00	Professional	26	$278.91	$537.73	$1,699.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $318.74 / $529.00 / $1,488.14	Professional	TC	$318.74	$529.00	$1,488.14
United Facility/Professional Professional Modifier Low / Median / High Price $576.01 / $949.11 / $1,776.11	Professional		$576.01	$949.11	$1,776.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $267.64 / $418.38 / $753.74	Professional	26	$267.64	$418.38	$753.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $308.37 / $512.66 / $955.71	Professional	TC	$308.37	$512.66	$955.71