Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.23 / $318.00 / $997.04	Facility		$60.23	$318.00	$997.04
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.60 / $30.60 / $51.71	Facility	26	$30.60	$30.60	$51.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $87.81 / $792.30	Professional		$49.34	$87.81	$792.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.12 / $42.20 / $218.50	Professional	26	$27.12	$42.20	$218.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $31.62 / $184.73	Professional	TC	$22.39	$31.62	$184.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $50.68 / $2,471.96	Facility		$0.98	$50.68	$2,471.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $150.46 / $204.12	Professional		$95.30	$150.46	$204.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.41 / $78.75 / $104.41	Professional	26	$52.41	$78.75	$104.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $81.01 / $99.71	Professional	TC	$53.70	$81.01	$99.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.40 / $206.64 / $497.09	Facility		$132.40	$206.64	$497.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.58 / $103.92 / $249.98	Facility	26	$66.58	$103.92	$249.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $114.08 / $222.04	Professional		$89.83	$114.08	$222.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.08 / $57.36 / $94.83	Professional	26	$39.08	$57.36	$94.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.66 / $56.72 / $128.88	Professional	TC	$44.66	$56.72	$128.88
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $114.73 / $182.19 / $391.41	Facility		$114.73	$182.19	$391.41
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $57.70 / $94.83 / $196.84	Facility	26	$57.70	$94.83	$196.84
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $89.83 / $181.34	Professional		$89.83	$89.83	$181.34
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $45.17 / $45.17 / $91.18	Professional	26	$45.17	$45.17	$91.18
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $44.66 / $44.66 / $84.04	Professional	TC	$44.66	$44.66	$84.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.01 / $177.19 / $777.92	Facility		$65.01	$177.19	$777.92
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $156.31 / $261.98 / $286.67	Facility	26	$156.31	$261.98	$286.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $139.03 / $947.00	Professional		$70.16	$139.03	$947.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.67 / $67.65 / $368.00	Professional	26	$35.67	$67.65	$368.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.45 / $54.28 / $758.00	Professional	TC	$30.45	$54.28	$758.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $114.02 / $207.05	Professional		$64.31	$114.02	$207.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.47 / $57.37 / $102.09	Professional	26	$32.47	$57.37	$102.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.14 / $51.60 / $93.47	Professional	TC	$29.14	$51.60	$93.47