Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.61 / $98.61 / $98.61	Facility	26	$98.61	$98.61	$98.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.19 / $895.02 / $3,721.00	Professional		$683.19	$895.02	$3,721.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.40 / $98.61 / $379.00	Professional	26	$82.40	$98.61	$379.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $600.79 / $796.42 / $1,528.18	Professional	TC	$600.79	$796.42	$1,528.18
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $80.91 / $80.91 / $80.91	Facility	26	$80.91	$80.91	$80.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,317.04 / $2,022.74 / $2,892.86	Professional		$1,317.04	$2,022.74	$2,892.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $156.75 / $232.17 / $333.16	Professional	26	$156.75	$232.17	$333.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,160.29 / $1,914.92 / $2,559.69	Professional	TC	$1,160.29	$1,914.92	$2,559.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $235.83 / $334.44 / $804.55	Facility	26	$235.83	$334.44	$804.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.22 / $1,574.57 / $2,406.69	Professional		$1,252.22	$1,574.57	$2,406.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.55 / $181.76 / $277.81	Professional	26	$144.55	$181.76	$277.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,107.67 / $1,392.82 / $2,128.89	Professional	TC	$1,107.67	$1,392.82	$2,128.89
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $185.70 / $305.76 / $633.50	Facility	26	$185.70	$305.76	$633.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,239.82 / $1,239.82 / $2,248.78	Professional		$1,239.82	$1,239.82	$2,248.78
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $143.12 / $143.12 / $259.58	Professional	26	$143.12	$143.12	$259.58
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $1,096.71 / $1,096.71 / $1,989.20	Professional	TC	$1,096.71	$1,096.71	$1,989.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,030.44 / $1,727.93 / $3,181.63	Professional		$1,030.44	$1,727.93	$3,181.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $112.58 / $186.71 / $367.68	Professional	26	$112.58	$186.71	$367.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $913.32 / $1,543.72 / $2,833.18	Professional	TC	$913.32	$1,543.72	$2,833.18
United Facility/Professional Professional Modifier Low / Median / High Price $955.65 / $1,705.13 / $2,913.59	Professional		$955.65	$1,705.13	$2,913.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.66 / $184.21 / $319.08	Professional	26	$104.66	$184.21	$319.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $913.32 / $1,586.32 / $2,594.50	Professional	TC	$913.32	$1,586.32	$2,594.50