Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.26 / $61.26 / $61.26	Facility	26	$61.26	$61.26	$61.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.31 / $411.72 / $596.62	Professional		$316.31	$411.72	$596.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.98 / $339.76 / $508.70	Professional	TC	$264.98	$339.76	$508.70
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.22 / $47.22 / $47.22	Facility	26	$47.22	$47.22	$47.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.89 / $1,128.80 / $1,454.64	Professional		$610.89	$1,128.80	$1,454.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $542.50 / $1,029.01 / $1,258.74	Professional	TC	$542.50	$1,029.01	$1,258.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.97 / $197.08 / $474.11	Facility	26	$138.97	$197.08	$474.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.24 / $1,176.16 / $1,831.51	Professional		$728.24	$1,176.16	$1,831.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $634.41 / $1,024.63 / $1,595.56	Professional	TC	$634.41	$1,024.63	$1,595.56
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $126.27 / $180.18 / $373.31	Facility	26	$126.27	$180.18	$373.31
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $721.03 / $1,094.78 / $1,654.90	Professional		$721.03	$1,094.78	$1,654.90
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $628.14 / $953.74 / $1,441.70	Professional	TC	$628.14	$953.74	$1,441.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $420.24 / $821.05 / $2,673.66	Professional		$420.24	$821.05	$2,673.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $358.18 / $708.61 / $2,317.40	Professional	TC	$358.18	$708.61	$2,317.40
United Facility/Professional Professional Modifier Low / Median / High Price $425.15 / $821.05 / $1,472.25	Professional		$425.15	$821.05	$1,472.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $367.89 / $711.41 / $1,257.54	Professional	TC	$367.89	$711.41	$1,257.54