Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $549.54 / $891.25	Facility		$229.09	$549.54	$891.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $45.71	Facility	26	$26.92	$26.92	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $478.63	Professional		$67.61	$114.82	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.20 / $95.50	Professional	26	$22.91	$30.20	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $81.28 / $162.18	Professional	TC	$50.12	$81.28	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $812.83 / $2,754.23	Facility		$1.00	$812.83	$2,754.23
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $23.44 / $23.44	Facility	26	$20.42	$23.44	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $407.38	Professional		$177.83	$245.47	$407.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $56.23 / $95.50	Professional	26	$43.65	$56.23	$95.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $204.17 / $316.23	Professional	TC	$144.54	$204.17	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $1,047.13	Facility		$275.42	$446.68	$1,047.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $95.50 / $234.42	Facility	26	$40.74	$95.50	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $371.54	Professional		$177.83	$223.87	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $50.12 / $83.18	Professional	26	$39.81	$50.12	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $173.78 / $281.84	Professional	TC	$138.04	$173.78	$281.84
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $416.87 / $831.76	Facility		$338.84	$416.87	$831.76
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $93.33 / $186.21	Facility	26	$75.86	$93.33	$186.21
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $275.42	Professional		$173.78	$173.78	$275.42
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $39.81 / $61.66	Professional	26	$39.81	$39.81	$61.66
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $134.90 / $213.80	Professional	TC	$134.90	$134.90	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $363.08 / $660.69	Facility		$125.89	$363.08	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $562.34	Professional		$104.71	$186.21	$562.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $51.29 / $141.25	Professional	26	$30.90	$51.29	$141.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $131.83 / $416.87	Professional	TC	$72.44	$131.83	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $389.05	Professional		$109.65	$204.17	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $51.29 / $95.50	Professional	26	$30.90	$51.29	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $151.36 / $302.00	Professional	TC	$77.62	$151.36	$302.00