Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.82 / $110.82 / $188.39	Facility	26	$110.82	$110.82	$188.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.62 / $475.00 / $5,321.90	Professional		$339.62	$475.00	$5,321.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.68 / $179.37 / $520.79	Professional	26	$102.68	$179.37	$520.79
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $169.81 / $195.49 / $385.29	Professional	52	$169.81	$195.49	$385.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $228.22 / $335.00 / $1,172.09	Professional	TC	$228.22	$335.00	$1,172.09
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $90.99 / $90.99 / $90.99	Facility	26	$90.99	$90.99	$90.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.45 / $949.81 / $1,151.98	Professional		$565.45	$949.81	$1,151.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $188.67 / $310.48 / $376.57	Professional	26	$188.67	$310.48	$376.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $441.13 / $639.33 / $775.42	Professional	TC	$441.13	$639.33	$775.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $241.07 / $376.25 / $905.11	Facility	26	$241.07	$376.25	$905.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.34 / $669.81 / $1,290.13	Professional		$496.34	$669.81	$1,290.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.94 / $204.31 / $356.68	Professional	26	$125.94	$204.31	$356.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $335.46 / $460.42 / $970.24	Professional	TC	$335.46	$460.42	$970.24
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $208.91 / $331.73 / $712.69	Facility	26	$208.91	$331.73	$712.69
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $496.34 / $650.16 / $1,085.63	Professional		$496.34	$650.16	$1,085.63
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $160.88 / $201.10 / $324.77	Professional	26	$160.88	$201.10	$324.77
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $335.46 / $433.29 / $804.74	Professional	TC	$335.46	$433.29	$804.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,013.76 / $1,013.76 / $1,013.76	Facility	26	$1,013.76	$1,013.76	$1,013.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $441.31 / $945.63 / $5,452.00	Professional		$441.31	$945.63	$5,452.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $140.75 / $282.36 / $1,386.53	Professional	26	$140.75	$282.36	$1,386.53
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $2,604.92 / $2,604.92 / $3,781.35	Professional	52	$2,604.92	$2,604.92	$3,781.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $278.68 / $529.78 / $5,551.18	Professional	TC	$278.68	$529.78	$5,551.18
United Facility/Professional Professional Modifier Low / Median / High Price $370.64 / $729.13 / $1,326.10	Professional		$370.64	$729.13	$1,326.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.29 / $199.39 / $384.78	Professional	26	$117.29	$199.39	$384.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.35 / $496.57 / $903.49	Professional	TC	$253.35	$496.57	$903.49