Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.59 / $176.78 / $425.26	Facility	26	$124.59	$176.78	$425.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.66 / $897.74 / $1,244.51	Professional		$567.66	$897.74	$1,244.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.13 / $153.60 / $212.93	Professional	26	$97.13	$153.60	$212.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $470.53 / $744.13 / $1,031.58	Professional	TC	$470.53	$744.13	$1,031.58
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $98.15 / $155.86 / $334.85	Facility	26	$98.15	$155.86	$334.85
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $489.94 / $777.72 / $1,124.50	Professional		$489.94	$777.72	$1,124.50
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $83.83 / $133.07 / $192.40	Professional	26	$83.83	$133.07	$192.40
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $406.11 / $644.65 / $932.10	Professional	TC	$406.11	$644.65	$932.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $205.41 / $205.41 / $205.41	Facility	26	$205.41	$205.41	$205.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,782.62 / $1,782.62 / $1,782.62	Professional		$1,782.62	$1,782.62	$1,782.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $313.70 / $313.70 / $313.70	Professional	26	$313.70	$313.70	$313.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $1,468.91 / $1,468.91 / $1,468.91	Professional	TC	$1,468.91	$1,468.91	$1,468.91