Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.70 / $1,014.15 / $1,807.17	Professional		$774.70	$1,014.15	$1,807.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $691.46 / $917.60 / $1,621.47	Professional	TC	$691.46	$917.60	$1,621.47
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $79.48 / $79.48 / $79.48	Facility	26	$79.48	$79.48	$79.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,545.58 / $2,325.41 / $3,325.74	Professional		$1,545.58	$2,325.41	$3,325.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,382.26 / $2,225.59 / $2,974.98	Professional	TC	$1,382.26	$2,225.59	$2,974.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $233.31 / $330.86 / $795.92	Facility	26	$233.31	$330.86	$795.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,464.94 / $1,842.05 / $3,045.14	Professional		$1,464.94	$1,842.05	$3,045.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,322.96 / $1,663.52 / $2,750.00	Professional	TC	$1,322.96	$1,663.52	$2,750.00
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $183.71 / $302.48 / $626.71	Facility	26	$183.71	$302.48	$626.71
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,450.44 / $1,530.17 / $2,664.50	Professional		$1,450.44	$1,530.17	$2,664.50
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $1,309.85 / $1,381.87 / $2,406.25	Professional	TC	$1,309.85	$1,381.87	$2,406.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $952.77 / $1,573.86 / $3,277.13	Professional		$952.77	$1,573.86	$3,277.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $838.94 / $1,376.82 / $2,902.08	Professional	TC	$838.94	$1,376.82	$2,902.08
United Facility/Professional Professional Modifier Low / Median / High Price $875.26 / $1,545.21 / $2,883.66	Professional		$875.26	$1,545.21	$2,883.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $836.06 / $1,403.98 / $2,744.95	Professional	TC	$836.06	$1,403.98	$2,744.95