Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.75 / $133.75 / $133.75	Facility	26	$133.75	$133.75	$133.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $339.29 / $419.48	Professional		$282.58	$339.29	$419.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.82 / $138.11 / $705.76	Professional	26	$27.82	$138.11	$705.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.11 / $212.43 / $683.69	Professional	TC	$192.11	$212.43	$683.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.74 / $1,025.84 / $1,580.57	Professional		$675.74	$1,025.84	$1,580.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $217.61 / $330.36 / $509.00	Professional	26	$217.61	$330.36	$509.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $458.13 / $734.10 / $1,071.58	Professional	TC	$458.13	$734.10	$1,071.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $231.34 / $1,002.47 / $1,201.07	Facility	26	$231.34	$1,002.47	$1,201.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.53 / $721.17 / $913.40	Professional		$573.53	$721.17	$913.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $183.99 / $231.35 / $293.02	Professional	26	$183.99	$231.35	$293.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $389.54 / $489.82 / $620.39	Professional	TC	$389.54	$489.82	$620.39
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $182.16 / $945.73 / $945.73	Facility	26	$182.16	$945.73	$945.73
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $567.85 / $567.85 / $812.42	Professional		$567.85	$567.85	$812.42
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $182.16 / $182.16 / $260.62	Professional	26	$182.16	$182.16	$260.62
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $385.68 / $385.68 / $551.79	Professional	TC	$385.68	$385.68	$551.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $632.78 / $632.78 / $632.78	Facility	26	$632.78	$632.78	$632.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $329.74 / $749.50 / $2,755.28	Professional		$329.74	$749.50	$2,755.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $170.52 / $455.17 / $588.69	Professional	26	$170.52	$455.17	$588.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $206.20 / $515.82 / $1,859.49	Professional	TC	$206.20	$515.82	$1,859.49
United Facility/Professional Professional Modifier Low / Median / High Price $329.74 / $739.61 / $1,240.21	Professional		$329.74	$739.61	$1,240.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.41 / $278.24 / $442.71	Professional	26	$123.41	$278.24	$442.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $209.45 / $471.26 / $722.29	Professional	TC	$209.45	$471.26	$722.29