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 / $778.04	Facility	26	$231.10	$231.10	$778.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.44 / $483.82 / $2,670.45	Professional		$427.44	$483.82	$2,670.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $188.34 / $471.51 / $1,143.00	Professional	26	$188.34	$471.51	$1,143.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $200.78 / $252.72 / $432.10	Professional	TC	$200.78	$252.72	$432.10
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 $816.06 / $1,177.39 / $1,649.38	Professional		$816.06	$1,177.39	$1,649.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $392.62 / $569.16 / $787.15	Professional	26	$392.62	$569.16	$787.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $449.06 / $656.74 / $862.23	Professional	TC	$449.06	$656.74	$862.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $559.26 / $793.10 / $1,907.92	Facility	26	$559.26	$793.10	$1,907.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.52 / $923.60 / $1,546.01	Professional		$734.52	$923.60	$1,546.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $345.99 / $435.05 / $728.23	Professional	26	$345.99	$435.05	$728.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $388.53 / $488.55 / $807.63	Professional	TC	$388.53	$488.55	$807.63
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $440.36 / $725.09 / $1,502.30	Facility	26	$440.36	$725.09	$1,502.30
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $727.25 / $767.23 / $1,335.98	Professional		$727.25	$767.23	$1,335.98
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 $384.69 / $405.83 / $706.68	Professional	TC	$384.69	$405.83	$706.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $596.77 / $1,038.19 / $2,529.90	Professional		$596.77	$1,038.19	$2,529.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $278.89 / $528.54 / $1,148.55	Professional	26	$278.89	$528.54	$1,148.55
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $317.87 / $529.66 / $951.42	Professional	TC	$317.87	$529.66	$951.42
United Facility/Professional Professional Modifier Low / Median / High Price $563.62 / $917.95 / $1,655.68	Professional		$563.62	$917.95	$1,655.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $268.02 / $418.38 / $770.01	Professional	26	$268.02	$418.38	$770.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $293.58 / $529.66 / $881.89	Professional	TC	$293.58	$529.66	$881.89