Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $190.55 / $645.65	Facility		$61.66	$190.55	$645.65
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $34.67 / $60.26	Facility	26	$34.67	$34.67	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $81.28 / $309.03	Professional		$38.90	$81.28	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $50.12 / $169.82	Professional	26	$30.20	$50.12	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.88 / $165.96	Professional	TC	$25.12	$33.88	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $407.38 / $1,122.02	Facility		$245.47	$407.38	$1,122.02
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $31.62 / $31.62	Facility	26	$27.54	$31.62	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $229.09	Professional		$95.50	$158.49	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $89.13 / $131.83	Professional	26	$54.95	$89.13	$131.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $69.18 / $100.00	Professional	TC	$43.65	$69.18	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $239.88 / $575.44	Facility		$165.96	$239.88	$575.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $125.89 / $316.23	Facility	26	$43.65	$125.89	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $288.40	Professional		$109.65	$181.97	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $100.00 / $158.49	Professional	26	$61.66	$100.00	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $79.43 / $141.25	Professional	TC	$48.98	$79.43	$141.25
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $446.68	Facility		$186.21	$229.09	$446.68
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $128.82 / $245.47	Facility	26	$102.33	$128.82	$245.47
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $257.04	Professional		$114.82	$165.96	$257.04
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $93.33 / $144.54	Professional	26	$63.10	$93.33	$144.54
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $72.44 / $114.82	Professional	TC	$50.12	$72.44	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $144.54 / $588.84	Facility		$64.57	$144.54	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $1,318.26	Professional		$75.86	$151.36	$1,318.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $83.18 / $630.96	Professional	26	$41.69	$83.18	$630.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $66.07 / $870.96	Professional	TC	$32.36	$66.07	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,862.09 / $3,715.35	Facility		$446.68	$1,862.09	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $263.03	Professional		$75.86	$138.04	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $75.86 / $131.83	Professional	26	$41.69	$75.86	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $61.66 / $120.23	Professional	TC	$33.88	$61.66	$120.23