Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.52 / $133.52 / $133.52	Facility	26	$133.52	$133.52	$133.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.40 / $797.72 / $1,482.09	Professional		$632.40	$797.72	$1,482.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.81 / $150.69 / $549.00	Professional	26	$119.81	$150.69	$549.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $297.79 / $336.16 / $467.76	Professional	52	$297.79	$336.16	$467.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $505.75 / $654.21 / $911.90	Professional	TC	$505.75	$654.21	$911.90
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $102.51 / $102.51 / $102.51	Facility	26	$102.51	$102.51	$102.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $1,781.51 / $2,295.76	Professional		$961.99	$1,781.51	$2,295.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $176.77 / $328.63 / $423.49	Professional	26	$176.77	$328.63	$423.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $803.10 / $1,530.56 / $1,872.27	Professional	TC	$803.10	$1,530.56	$1,872.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $299.85 / $425.22 / $1,022.92	Facility	26	$299.85	$425.22	$1,022.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,371.47 / $1,464.49 / $1,741.77	Professional		$1,371.47	$1,464.49	$1,741.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $246.02 / $262.20 / $311.83	Professional	26	$246.02	$262.20	$311.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,125.93 / $1,202.29 / $1,429.93	Professional	TC	$1,125.93	$1,202.29	$1,429.93
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $272.45 / $388.75 / $805.45	Facility	26	$272.45	$388.75	$805.45
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,359.76 / $1,368.68 / $1,371.47	Professional		$1,359.76	$1,368.68	$1,371.47
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $244.36 / $245.04 / $245.54	Professional	26	$244.36	$245.04	$245.54
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $1,115.40 / $1,123.64 / $1,125.93	Professional	TC	$1,115.40	$1,123.64	$1,125.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $773.14 / $1,386.25 / $6,200.00	Professional		$773.14	$1,386.25	$6,200.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $157.43 / $275.25 / $1,081.48	Professional	26	$157.43	$275.25	$1,081.48
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $653.20 / $653.20 / $653.20	Professional	52	$653.20	$653.20	$653.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $619.20 / $1,086.07 / $3,875.48	Professional	TC	$619.20	$1,086.07	$3,875.48
United Facility/Professional Professional Modifier Low / Median / High Price $733.71 / $1,339.96 / $2,382.00	Professional		$733.71	$1,339.96	$2,382.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $142.12 / $267.02 / $466.65	Professional	26	$142.12	$267.02	$466.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $619.20 / $1,117.22 / $1,915.35	Professional	TC	$619.20	$1,117.22	$1,915.35