Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.16 / $369.16 / $369.16	Facility		$369.16	$369.16	$369.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.20 / $176.20 / $176.20	Facility	26	$176.20	$176.20	$176.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $192.96 / $192.96 / $192.96	Facility	TC	$192.96	$192.96	$192.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.23 / $402.51 / $683.91	Professional		$346.23	$402.51	$683.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $161.09 / $178.63 / $209.74	Professional	26	$161.09	$178.63	$209.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.85 / $209.01 / $402.76	Professional	TC	$161.85	$209.01	$402.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $134.50 / $156.27	Facility		$134.38	$134.50	$156.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.12 / $886.77 / $1,275.65	Professional		$620.12	$886.77	$1,275.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $307.43 / $418.55 / $602.10	Professional	26	$307.43	$418.55	$602.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $345.56 / $507.91 / $673.56	Professional	TC	$345.56	$507.91	$673.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $925.17 / $2,635.68 / $3,157.84	Facility		$925.17	$2,635.68	$3,157.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $432.70 / $1,232.70 / $1,476.91	Facility	26	$432.70	$1,232.70	$1,476.91
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $492.47 / $1,402.98 / $1,680.92	Facility	TC	$492.47	$1,402.98	$1,680.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.66 / $440.43 / $527.69	Professional		$419.66	$440.43	$527.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $195.81 / $205.51 / $246.22	Professional	26	$195.81	$205.51	$246.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $234.92 / $281.45	Professional	TC	$223.84	$234.92	$281.45
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $841.06 / $2,486.48 / $2,486.48	Facility		$841.06	$2,486.48	$2,486.48
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $393.36 / $1,162.93 / $1,162.93	Facility	26	$393.36	$1,162.93	$1,162.93
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $447.70 / $1,323.56 / $1,323.56	Facility	TC	$447.70	$1,323.56	$1,323.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $415.50 / $415.50 / $415.50	Professional		$415.50	$415.50	$415.50
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $193.88 / $193.88 / $193.88	Professional	26	$193.88	$193.88	$193.88
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $221.63 / $221.63 / $221.63	Professional	TC	$221.63	$221.63	$221.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $580.54 / $770.47 / $1,151.35	Facility		$580.54	$770.47	$1,151.35
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $846.88 / $846.88 / $846.88	Facility	26	$846.88	$846.88	$846.88
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $1,452.72 / $1,452.72 / $1,452.72	Facility	TC	$1,452.72	$1,452.72	$1,452.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $347.90 / $859.31 / $1,334.67	Professional		$347.90	$859.31	$1,334.67
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $184.75 / $537.95 / $2,890.44	Professional	26	$184.75	$537.95	$2,890.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $162.40 / $336.60 / $617.67	Professional	TC	$162.40	$336.60	$617.67
United Facility/Professional Professional Modifier Low / Median / High Price $347.90 / $473.07 / $988.16	Professional		$347.90	$473.07	$988.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $148.19 / $361.11 / $577.25	Professional	26	$148.19	$361.11	$577.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.40 / $318.64 / $586.79	Professional	TC	$162.40	$318.64	$586.79