Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.09 / $153.09 / $4,945.75	Facility		$153.09	$153.09	$4,945.75
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.95 / $79.95 / $79.95	Facility	26	$79.95	$79.95	$79.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $184.21 / $266.37	Professional		$130.47	$184.21	$266.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $71.40 / $147.53	Professional	26	$48.86	$71.40	$147.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $62.07 / $76.55 / $123.62	Professional	52	$62.07	$76.55	$123.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.07 / $88.15 / $202.54	Professional	TC	$59.07	$88.15	$202.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $644.62 / $5,014.17 / $11,327.71	Facility		$644.62	$5,014.17	$11,327.71
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $65.37 / $65.37 / $65.37	Facility	26	$65.37	$65.37	$65.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.55 / $435.25 / $527.90	Professional		$258.55	$435.25	$527.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $140.91 / $235.03 / $285.06	Professional	26	$140.91	$235.03	$285.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.13 / $200.21 / $242.83	Professional	TC	$138.13	$200.21	$242.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.79 / $512.95 / $1,261.41	Facility		$302.79	$512.95	$1,261.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $157.26 / $266.39 / $655.13	Facility	26	$157.26	$266.39	$655.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.38 / $279.08 / $556.30	Professional		$209.38	$279.08	$556.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.13 / $146.94 / $243.24	Professional	26	$69.13	$146.94	$243.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.04 / $132.13 / $282.14	Professional	TC	$104.04	$132.13	$282.14
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $269.63 / $462.31 / $993.24	Facility		$269.63	$462.31	$993.24
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $140.04 / $240.11 / $515.85	Facility	26	$140.04	$240.11	$515.85
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $219.75 / $260.10 / $443.61	Professional		$219.75	$260.10	$443.61
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $115.71 / $136.96 / $233.59	Professional	26	$115.71	$136.96	$233.59
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $104.04 / $123.14 / $210.02	Professional	TC	$104.04	$123.14	$210.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.19 / $341.08 / $785.55	Facility		$161.19	$341.08	$785.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $366.35 / $366.35 / $366.35	Facility	26	$366.35	$366.35	$366.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.98 / $317.27 / $3,102.49	Professional		$178.98	$317.27	$3,102.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.98 / $123.39 / $551.37	Professional	26	$70.98	$123.39	$551.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $84.17 / $185.77 / $2,808.09	Professional	TC	$84.17	$185.77	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $292.88 / $566.29	Professional		$167.09	$292.88	$566.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.90 / $109.20 / $269.57	Professional	26	$70.90	$109.20	$269.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.67 / $164.97 / $266.62	Professional	TC	$78.67	$164.97	$266.62