Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.63 / $1,199.13 / $2,677.01	Facility		$525.63	$1,199.13	$2,677.01
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.28 / $74.28 / $327.57	Facility	26	$74.28	$74.28	$327.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.98 / $254.66 / $1,053.57	Professional		$173.98	$254.66	$1,053.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.22 / $80.64 / $442.70	Professional	26	$64.22	$80.64	$442.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $118.09 / $171.23 / $666.00	Professional	TC	$118.09	$171.23	$666.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.72 / $1,230.40 / $2,230.96	Facility		$479.72	$1,230.40	$2,230.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $57.29 / $57.29 / $57.29	Facility	26	$57.29	$57.29	$57.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.44 / $520.27 / $690.96	Professional		$301.44	$520.27	$690.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.81 / $178.74 / $236.97	Professional	26	$104.81	$178.74	$236.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.62 / $367.97 / $471.25	Professional	TC	$224.62	$367.97	$471.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.59 / $709.49 / $1,706.78	Facility		$454.59	$709.49	$1,706.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.06 / $238.89 / $574.67	Facility	26	$153.06	$238.89	$574.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $541.41 / $863.03	Professional		$292.00	$541.41	$863.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.88 / $184.79 / $287.75	Professional	26	$90.88	$184.79	$287.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $195.38 / $356.64 / $555.35	Professional	TC	$195.38	$356.64	$555.35
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $393.94 / $647.46 / $1,343.93	Facility		$393.94	$647.46	$1,343.93
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $132.63 / $210.62 / $452.50	Facility	26	$132.63	$210.62	$452.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $331.91 / $534.96 / $761.80	Professional		$331.91	$534.96	$761.80
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $113.28 / $182.36 / $260.00	Professional	26	$113.28	$182.36	$260.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $218.63 / $351.95 / $501.80	Professional	TC	$218.63	$351.95	$501.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $284.27 / $963.69 / $1,956.73	Facility		$284.27	$963.69	$1,956.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $305.79 / $305.79 / $305.79	Facility	26	$305.79	$305.79	$305.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.64 / $440.77 / $2,199.60	Professional		$232.64	$440.77	$2,199.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $147.13 / $433.24	Professional	26	$75.06	$147.13	$433.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $159.52 / $303.66 / $1,005.74	Professional	TC	$159.52	$303.66	$1,005.74
United Facility/Professional Professional Modifier Low / Median / High Price $224.42 / $418.93 / $720.51	Professional		$224.42	$418.93	$720.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $132.76 / $243.18	Professional	26	$75.06	$132.76	$243.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $150.06 / $285.52 / $464.76	Professional	TC	$150.06	$285.52	$464.76