Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $457.09 / $1,000.00	Facility		$95.50	$457.09	$1,000.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $52.48	Facility	26	$30.20	$30.20	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $630.96	Professional		$50.12	$87.10	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $46.77 / $165.96	Professional	26	$26.92	$46.77	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $31.62 / $181.97	Professional	TC	$21.38	$31.62	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1,348.96 / $4,677.35	Facility		$1.00	$1,348.96	$4,677.35
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $26.92 / $26.92	Facility	26	$23.44	$26.92	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $213.80	Professional		$97.72	$141.25	$213.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $70.79 / $107.15	Professional	26	$48.98	$70.79	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $74.13 / $104.71	Professional	TC	$47.86	$74.13	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $218.78 / $524.81	Facility		$134.90	$218.78	$524.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $95.50 / $263.03	Facility	26	$24.55	$95.50	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $229.09	Professional		$79.43	$114.82	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $56.23 / $91.20	Professional	26	$34.67	$56.23	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $56.23 / $147.91	Professional	TC	$35.48	$56.23	$147.91
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $213.80 / $407.38	Facility		$165.96	$213.80	$407.38
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $107.15 / $204.17	Facility	26	$85.11	$107.15	$204.17
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $147.91	Professional		$89.13	$89.13	$147.91
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $44.67 / $70.79	Professional	26	$44.67	$44.67	$70.79
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $44.67 / $69.18	Professional	TC	$44.67	$44.67	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $239.88 / $891.25	Facility		$63.10	$239.88	$891.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $263.03 / $288.40	Facility	26	$154.88	$263.03	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $151.36 / $954.99	Professional		$58.88	$151.36	$954.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $77.62 / $371.54	Professional	26	$32.36	$77.62	$371.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $56.23 / $758.58	Professional	TC	$25.70	$56.23	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $117.49 / $229.09	Professional		$58.88	$117.49	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $53.70 / $93.33	Professional	26	$32.36	$53.70	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $53.70 / $154.88	Professional	TC	$25.70	$53.70	$154.88