Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $70.79 / $123.03	Facility	26	$66.07	$70.79	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $467.74 / $1,412.54	Professional		$194.98	$467.74	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $125.89 / $331.13	Professional	26	$66.07	$125.89	$331.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $123.03 / $316.23 / $870.96	Professional	52	$123.03	$316.23	$870.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $251.19 / $549.54	Professional	TC	$123.03	$251.19	$549.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $58.88 / $58.88	Facility	26	$51.29	$58.88	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $691.83	Professional		$316.23	$478.63	$691.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $169.82 / $251.19	Professional	26	$114.82	$169.82	$251.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $316.23 / $446.68	Professional	TC	$204.17	$316.23	$446.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $223.87 / $616.60	Facility	26	$57.54	$223.87	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $851.14	Professional		$281.84	$380.19	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $131.83 / $218.78	Professional	26	$79.43	$131.83	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $245.47 / $616.60	Professional	TC	$186.21	$245.47	$616.60
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $245.47 / $478.63	Facility	26	$194.98	$245.47	$478.63
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $812.83	Professional		$295.12	$295.12	$812.83
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $104.71 / $162.18	Professional	26	$104.71	$104.71	$162.18
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $190.55 / $524.81	Professional	TC	$190.55	$190.55	$524.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $562.34 / $2,884.03	Professional		$263.03	$562.34	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $177.83 / $562.34	Professional	26	$89.13	$177.83	$562.34
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $338.84 / $338.84 / $602.56	Professional	52	$338.84	$338.84	$602.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $346.74 / $2,511.89	Professional	TC	$151.36	$346.74	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $436.52 / $724.44	Professional		$218.78	$436.52	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $125.89 / $229.09	Professional	26	$75.86	$125.89	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $281.84 / $537.03	Professional	TC	$144.54	$281.84	$537.03