Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.33 / $1,030.50 / $1,574.40	Facility		$270.33	$1,030.50	$1,574.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.67 / $39.67 / $39.67	Facility	26	$39.67	$39.67	$39.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $230.67 / $230.67 / $754.72	Facility	TC	$230.67	$230.67	$754.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.49 / $257.08 / $427.94	Professional		$178.49	$257.08	$427.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $38.64 / $151.13	Professional	26	$26.96	$38.64	$151.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $215.85 / $317.82	Professional	TC	$162.34	$215.85	$317.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $317.10 / $526.62 / $993.00	Facility		$317.10	$526.62	$993.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.52 / $30.52 / $30.52	Facility	26	$30.52	$30.52	$30.52
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $175.65 / $175.65 / $175.65	Facility	TC	$175.65	$175.65	$175.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.34 / $637.98 / $845.81	Professional		$367.34	$637.98	$845.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.07 / $98.05 / $130.21	Professional	26	$57.07	$98.05	$130.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $356.29 / $579.20 / $715.59	Professional	TC	$356.29	$579.20	$715.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.90 / $870.74 / $2,094.69	Facility		$557.90	$870.74	$2,094.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.89 / $127.80 / $307.45	Facility	26	$81.89	$127.80	$307.45
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $476.02 / $742.94 / $1,787.24	Facility	TC	$476.02	$742.94	$1,787.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.24 / $661.53 / $1,030.14	Professional		$314.24	$661.53	$1,030.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $98.86 / $153.94	Professional	26	$40.74	$98.86	$153.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $284.57 / $562.66 / $876.19	Professional	TC	$284.57	$562.66	$876.19
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $483.47 / $794.61 / $1,649.36	Facility		$483.47	$794.61	$1,649.36
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $70.95 / $112.68 / $242.09	Facility	26	$70.95	$112.68	$242.09
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $412.51 / $677.98 / $1,407.28	Facility	TC	$412.51	$677.98	$1,407.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $405.54 / $652.85 / $930.80	Professional		$405.54	$652.85	$930.80
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $60.60 / $96.20 / $139.10	Professional	26	$60.60	$96.20	$139.10
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $344.94 / $555.29 / $791.70	Professional	TC	$344.94	$555.29	$791.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.76 / $425.00 / $770.13	Facility		$234.76	$425.00	$770.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $205.00 / $205.00 / $205.00	Facility	26	$205.00	$205.00	$205.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $441.73 / $906.68 / $1,199.02	Facility	TC	$441.73	$906.68	$1,199.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $284.64 / $522.66 / $1,952.19	Professional		$284.64	$522.66	$1,952.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.06 / $78.52 / $399.57	Professional	26	$40.06	$78.52	$399.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $240.57 / $445.08 / $1,791.16	Professional	TC	$240.57	$445.08	$1,791.16
United Facility/Professional Professional Modifier Low / Median / High Price $271.70 / $507.17 / $951.85	Professional		$271.70	$507.17	$951.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.06 / $76.31 / $141.93	Professional	26	$40.06	$76.31	$141.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.64 / $428.65 / $772.01	Professional	TC	$229.64	$428.65	$772.01