Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.72 / $552.78 / $1,248.30	Facility		$277.72	$552.78	$1,248.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.73 / $75.73 / $75.73	Facility	26	$75.73	$75.73	$75.73
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $201.99 / $201.99 / $201.99	Facility	TC	$201.99	$201.99	$201.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.89 / $259.68 / $534.85	Professional		$178.89	$259.68	$534.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.96 / $83.58 / $701.10	Professional	26	$21.96	$83.58	$701.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.03 / $201.99 / $581.16	Professional	TC	$136.03	$201.99	$581.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $134.50 / $156.27	Facility		$134.38	$134.50	$156.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.80 / $682.85 / $1,052.08	Professional		$449.80	$682.85	$1,052.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.38 / $187.31 / $288.58	Professional	26	$123.38	$187.31	$288.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $326.42 / $523.04 / $763.50	Professional	TC	$326.42	$523.04	$763.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.84 / $2,100.87 / $2,517.08	Facility		$484.84	$2,100.87	$2,517.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.16 / $568.39 / $680.99	Facility	26	$131.16	$568.39	$680.99
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $353.67 / $1,532.48 / $1,836.09	Facility	TC	$353.67	$1,532.48	$1,836.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.82 / $482.62 / $611.27	Professional		$383.82	$482.62	$611.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.32 / $131.16 / $166.14	Professional	26	$104.32	$131.16	$166.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $279.50 / $351.45 / $445.14	Professional	TC	$279.50	$351.45	$445.14
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $381.76 / $1,981.95 / $1,981.95	Facility		$381.76	$1,981.95	$1,981.95
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $103.28 / $536.21 / $536.21	Facility	26	$103.28	$536.21	$536.21
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $278.48 / $1,445.74 / $1,445.74	Facility	TC	$278.48	$1,445.74	$1,445.74
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $380.02 / $380.02 / $543.69	Professional		$380.02	$380.02	$543.69
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $103.28 / $103.28 / $147.77	Professional	26	$103.28	$103.28	$147.77
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $276.73 / $276.73 / $395.92	Professional	TC	$276.73	$276.73	$395.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.19 / $350.17 / $774.00	Facility		$209.19	$350.17	$774.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $358.77 / $358.77 / $358.77	Facility	26	$358.77	$358.77	$358.77
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $943.11 / $943.11 / $943.11	Facility	TC	$943.11	$943.11	$943.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.46 / $500.72 / $1,142.99	Professional		$223.46	$500.72	$1,142.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $165.99 / $259.31 / $385.95	Professional	26	$165.99	$259.31	$385.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $145.21 / $388.64 / $1,303.99	Professional	TC	$145.21	$388.64	$1,303.99
United Facility/Professional Professional Modifier Low / Median / High Price $215.13 / $489.29 / $739.36	Professional		$215.13	$489.29	$739.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.83 / $155.34 / $227.51	Professional	26	$69.83	$155.34	$227.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $145.30 / $331.88 / $481.35	Professional	TC	$145.30	$331.88	$481.35