Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $426.58 / $1,445.44	Facility	26	$426.58	$426.58	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $8,511.38	Professional		$1,659.59	$2,137.96	$8,511.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $371.54 / $562.34 / $2,089.30	Professional	26	$371.54	$562.34	$2,089.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,230.27 / $1,737.80 / $3,311.31	Professional	TC	$1,230.27	$1,737.80	$3,311.31
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $316.23 / $371.54 / $371.54	Facility	26	$316.23	$371.54	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,365.16 / $6,606.93	Professional		$3,019.95	$4,365.16	$6,606.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $691.83 / $1,000.00 / $1,513.56	Professional	26	$691.83	$1,000.00	$1,513.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2,344.23 / $3,467.37 / $5,128.61	Professional	TC	$2,344.23	$3,467.37	$5,128.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1,096.48 / $1,548.82 / $3,715.35	Facility	26	$1,096.48	$1,548.82	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $5,754.40	Professional		$2,884.03	$3,630.78	$5,754.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $645.65 / $812.83 / $1,318.26	Professional	26	$645.65	$812.83	$1,318.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2,238.72 / $2,818.38 / $4,570.88	Professional	TC	$2,238.72	$2,818.38	$4,570.88
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $1,202.26 / $1,479.11 / $2,951.21	Facility	26	$1,202.26	$1,479.11	$2,951.21
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,466.84	Professional		$2,884.03	$2,884.03	$4,466.84
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $645.65 / $645.65 / $1,000.00	Professional	26	$645.65	$645.65	$1,000.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $2,238.72 / $2,238.72 / $3,467.37	Professional	TC	$2,238.72	$2,238.72	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $9,332.54	Professional		$2,238.72	$4,365.16	$9,332.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $524.81 / $1,071.52 / $2,344.23	Professional	26	$524.81	$1,071.52	$2,344.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $1,659.59 / $2,951.21 / $8,912.51	Professional	TC	$1,659.59	$2,951.21	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $6,456.54	Professional		$2,187.76	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $478.63 / $794.33 / $1,412.54	Professional	26	$478.63	$794.33	$1,412.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,698.24 / $2,951.21 / $5,011.87	Professional	TC	$1,698.24	$2,951.21	$5,011.87