Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.16 / $98.16 / $234.87	Facility	26	$98.16	$98.16	$234.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.81 / $373.79 / $1,604.55	Professional		$312.81	$373.79	$1,604.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.16 / $105.88 / $152.54	Professional	26	$98.16	$105.88	$152.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $150.02 / $150.02 / $150.02	Professional	52	$150.02	$150.02	$150.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.93 / $269.60 / $381.98	Professional	TC	$206.93	$269.60	$381.98
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $84.65 / $84.65 / $84.65	Facility	26	$84.65	$84.65	$84.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.51 / $946.33 / $1,328.51	Professional		$568.51	$946.33	$1,328.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $170.31 / $264.56 / $371.40	Professional	26	$170.31	$264.56	$371.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $409.19 / $702.30 / $1,032.25	Professional	TC	$409.19	$702.30	$1,032.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $247.63 / $351.16 / $844.77	Facility	26	$247.63	$351.16	$844.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.76 / $1,183.46 / $1,666.81	Professional		$694.76	$1,183.46	$1,666.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $200.54 / $338.57 / $481.13	Professional	26	$200.54	$338.57	$481.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $494.21 / $861.73 / $1,185.69	Professional	TC	$494.21	$861.73	$1,185.69
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $201.30 / $321.05 / $665.18	Facility	26	$201.30	$321.05	$665.18
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $611.66 / $1,046.74 / $1,387.16	Professional		$611.66	$1,046.74	$1,387.16
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $176.56 / $302.14 / $400.40	Professional	26	$176.56	$302.14	$400.40
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $435.11 / $744.60 / $986.76	Professional	TC	$435.11	$744.60	$986.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $445.35 / $891.78 / $1,881.81	Professional		$445.35	$891.78	$1,881.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $140.69 / $274.04 / $550.16	Professional	26	$140.69	$274.04	$550.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $295.63 / $631.05 / $1,331.64	Professional	TC	$295.63	$631.05	$1,331.64
United Facility/Professional Professional Modifier Low / Median / High Price $435.80 / $900.65 / $1,445.27	Professional		$435.80	$900.65	$1,445.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $137.07 / $288.17 / $422.54	Professional	26	$137.07	$288.17	$422.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.63 / $610.70 / $1,022.73	Professional	TC	$295.63	$610.70	$1,022.73