Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $1,148.15	Facility		$194.98	$194.98	$1,148.15
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $575.44	Professional		$141.25	$208.93	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $44.67 / $91.20	Professional	26	$37.15	$44.67	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $158.49 / $263.03	Professional	TC	$89.13	$158.49	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $891.25 / $3,019.95	Facility		$1.00	$891.25	$3,019.95
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $33.88 / $33.88	Facility	26	$29.51	$33.88	$33.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $602.56	Professional		$245.47	$371.54	$602.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $87.10 / $141.25	Professional	26	$58.88	$87.10	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $309.03 / $467.74	Professional	TC	$190.55	$309.03	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $724.44 / $1,737.80	Facility		$512.86	$724.44	$1,737.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $138.04 / $338.84	Facility	26	$67.61	$138.04	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $812.83	Professional		$354.81	$537.03	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $120.23 / $186.21	Professional	26	$79.43	$120.23	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $416.87 / $630.96	Professional	TC	$275.42	$416.87	$630.96
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $1,348.96	Facility		$549.54	$691.83	$1,348.96
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $134.90 / $263.03	Facility	26	$109.65	$134.90	$263.03
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $676.08	Professional		$323.59	$457.09	$676.08
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $102.33 / $154.88	Professional	26	$72.44	$102.33	$154.88
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $354.81 / $524.81	Professional	TC	$251.19	$354.81	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $389.05 / $2,398.83	Facility		$194.98	$389.05	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $707.95	Professional		$162.18	$346.74	$707.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $83.18 / $177.83	Professional	26	$50.12	$83.18	$177.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $257.04 / $524.81	Professional	TC	$107.15	$257.04	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $3,715.35	Facility		$1,096.48	$1,862.09	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $338.84 / $645.65	Professional		$169.82	$338.84	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $81.28 / $154.88	Professional	26	$46.77	$81.28	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $257.04 / $489.78	Professional	TC	$114.82	$257.04	$489.78