Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.53 / $919.12 / $1,569.60	Facility		$211.53	$919.12	$1,569.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.18 / $35.18 / $52.76	Facility	26	$35.18	$35.18	$52.76
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $176.35 / $176.35 / $298.02	Facility	TC	$176.35	$176.35	$298.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.67 / $211.53 / $1,054.71	Professional		$167.67	$211.53	$1,054.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.56 / $38.65 / $164.00	Professional	26	$30.56	$38.65	$164.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.13 / $176.35 / $401.78	Professional	TC	$144.13	$176.35	$401.78
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 $26.48 / $26.48 / $26.48	Facility	26	$26.48	$26.48	$26.48
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $134.18 / $134.18 / $134.18	Facility	TC	$134.18	$134.18	$134.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.92 / $496.40 / $658.11	Professional		$286.92	$496.40	$658.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.81 / $85.76 / $113.79	Professional	26	$49.81	$85.76	$113.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $269.31 / $435.46 / $544.32	Professional	TC	$269.31	$435.46	$544.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $433.93 / $677.24 / $1,629.20	Facility		$433.93	$677.24	$1,629.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.94 / $112.28 / $270.10	Facility	26	$71.94	$112.28	$270.10
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $361.99 / $564.97 / $1,359.11	Facility	TC	$361.99	$564.97	$1,359.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.01 / $516.47 / $804.25	Professional		$254.01	$516.47	$804.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.44 / $86.85 / $135.24	Professional	26	$39.44	$86.85	$135.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $214.92 / $429.63 / $669.01	Professional	TC	$214.92	$429.63	$669.01
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $376.03 / $618.03 / $1,282.83	Facility		$376.03	$618.03	$1,282.83
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $62.34 / $98.99 / $212.68	Facility	26	$62.34	$98.99	$212.68
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $313.69 / $515.57 / $1,070.16	Facility	TC	$313.69	$515.57	$1,070.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $316.62 / $509.18 / $726.70	Professional		$316.62	$509.18	$726.70
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $53.24 / $84.52 / $122.20	Professional	26	$53.24	$84.52	$122.20
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $263.38 / $423.99 / $604.50	Professional	TC	$263.38	$423.99	$604.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $443.23 / $1,299.96	Facility		$217.09	$443.23	$1,299.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $212.00 / $212.00 / $212.00	Facility	26	$212.00	$212.00	$212.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $565.29 / $811.51 / $1,087.14	Facility	TC	$565.29	$811.51	$1,087.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.23 / $450.32 / $1,578.90	Professional		$221.23	$450.32	$1,578.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.30 / $81.83 / $263.20	Professional	26	$42.30	$81.83	$263.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $183.35 / $340.04 / $1,388.59	Professional	TC	$183.35	$340.04	$1,388.59
United Facility/Professional Professional Modifier Low / Median / High Price $208.79 / $382.92 / $728.53	Professional		$208.79	$382.92	$728.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $64.88 / $124.70	Professional	26	$35.36	$64.88	$124.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.83 / $331.61 / $603.83	Professional	TC	$179.83	$331.61	$603.83