Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	26	$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,819.70	Professional		$707.95	$891.25	$1,819.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $102.33 / $363.08	Professional	26	$77.62	$102.33	$363.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $630.96 / $794.33 / $1,513.56	Professional	TC	$630.96	$794.33	$1,513.56
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $81.28 / $81.28	Facility	26	$70.79	$81.28	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $2,818.38	Professional		$1,318.26	$1,905.46	$2,818.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $218.78 / $338.84	Professional	26	$158.49	$218.78	$338.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,148.15 / $1,698.24 / $2,511.89	Professional	TC	$1,148.15	$1,698.24	$2,511.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $354.81 / $831.76	Facility	26	$251.19	$354.81	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,454.71	Professional		$1,258.93	$1,584.89	$2,454.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $181.97 / $281.84	Professional	26	$144.54	$181.97	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,096.48 / $1,380.38 / $2,187.76	Professional	TC	$1,096.48	$1,380.38	$2,187.76
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $338.84 / $660.69	Facility	26	$269.15	$338.84	$660.69
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,949.84	Professional		$1,230.27	$1,230.27	$1,949.84
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $144.54 / $223.87	Professional	26	$144.54	$144.54	$223.87
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $1,096.48 / $1,096.48 / $1,698.24	Professional	TC	$1,096.48	$1,096.48	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,698.24 / $3,162.28	Professional		$954.99	$1,698.24	$3,162.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $186.21 / $371.54	Professional	26	$104.71	$186.21	$371.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $851.14 / $1,513.56 / $2,818.38	Professional	TC	$851.14	$1,513.56	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,737.80 / $2,818.38	Professional		$954.99	$1,737.80	$2,818.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $186.21 / $316.23	Professional	26	$107.15	$186.21	$316.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $851.14 / $1,548.82 / $2,511.89	Professional	TC	$851.14	$1,548.82	$2,511.89