Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $430.71 / $430.71 / $1,447.63	Facility	26	$430.71	$430.71	$1,447.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,865.56 / $2,095.90 / $9,527.40	Professional		$1,865.56	$2,095.90	$9,527.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $347.37 / $626.39 / $2,161.25	Professional	26	$347.37	$626.39	$2,161.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,195.77 / $1,542.03 / $2,517.02	Professional	TC	$1,195.77	$1,542.03	$2,517.02
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $361.10 / $361.10 / $361.10	Facility	26	$361.10	$361.10	$361.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,046.23 / $4,540.89 / $6,494.28	Professional		$3,046.23	$4,540.89	$6,494.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $696.61 / $1,024.50 / $1,465.20	Professional	26	$696.61	$1,024.50	$1,465.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2,349.62 / $3,762.27 / $5,029.08	Professional	TC	$2,349.62	$3,762.27	$5,029.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1,040.20 / $1,475.13 / $3,548.62	Facility	26	$1,040.20	$1,475.13	$3,548.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,883.75 / $3,626.10 / $5,994.39	Professional		$2,883.75	$3,626.10	$5,994.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $644.82 / $810.81 / $1,340.37	Professional	26	$644.82	$810.81	$1,340.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2,238.92 / $2,815.29 / $4,654.02	Professional	TC	$2,238.92	$2,815.29	$4,654.02
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $819.05 / $1,348.62 / $2,794.19	Facility	26	$819.05	$1,348.62	$2,794.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,855.20 / $3,012.16 / $5,245.09	Professional		$2,855.20	$3,012.16	$5,245.09
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $638.44 / $673.53 / $1,172.83	Professional	26	$638.44	$673.53	$1,172.83
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $2,216.76 / $2,338.63 / $4,072.26	Professional	TC	$2,216.76	$2,338.63	$4,072.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,339.04 / $4,332.72 / $9,271.17	Professional		$2,339.04	$4,332.72	$9,271.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $519.25 / $1,001.12 / $2,252.30	Professional	26	$519.25	$1,001.12	$2,252.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $1,819.79 / $2,938.28 / $5,774.23	Professional	TC	$1,819.79	$2,938.28	$5,774.23
United Facility/Professional Professional Modifier Low / Median / High Price $2,203.16 / $3,605.17 / $6,489.43	Professional		$2,203.16	$3,605.17	$6,489.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $475.98 / $780.12 / $1,440.61	Professional	26	$475.98	$780.12	$1,440.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,746.78 / $3,032.98 / $4,983.10	Professional	TC	$1,746.78	$3,032.98	$4,983.10