Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.92 / $621.71 / $973.69	Facility		$122.92	$621.71	$973.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.05 / $27.13 / $46.12	Facility	26	$25.05	$27.13	$46.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $122.92 / $620.35	Professional		$67.84	$122.92	$620.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.88 / $27.13 / $96.90	Professional	26	$23.88	$27.13	$96.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.04 / $77.28 / $110.76	Professional	TC	$44.04	$77.28	$110.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $604.25 / $1,544.64	Facility		$0.98	$604.25	$1,544.64
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $22.17 / $22.17 / $22.17	Facility	26	$22.17	$22.17	$22.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.90 / $289.86 / $408.24	Professional		$186.90	$289.86	$408.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.30 / $65.80 / $92.67	Professional	26	$43.30	$65.80	$92.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.84 / $236.07 / $315.56	Professional	TC	$145.84	$236.07	$315.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.48 / $420.44 / $1,011.43	Facility		$296.48	$420.44	$1,011.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.70 / $93.17 / $224.12	Facility	26	$65.70	$93.17	$224.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.84 / $222.36 / $399.32	Professional		$176.84	$222.36	$399.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.97 / $50.27 / $94.53	Professional	26	$39.97	$50.27	$94.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.86 / $172.09 / $309.04	Professional	TC	$136.86	$172.09	$309.04
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $241.01 / $384.38 / $796.40	Facility		$241.01	$384.38	$796.40
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $53.41 / $85.18 / $176.48	Facility	26	$53.41	$85.18	$176.48
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $175.09 / $207.00 / $353.45	Professional		$175.09	$207.00	$353.45
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $39.59 / $46.80 / $79.91	Professional	26	$39.59	$46.80	$79.91
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $135.50 / $160.19 / $273.54	Professional	TC	$135.50	$160.19	$273.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.92 / $298.12 / $607.95	Facility		$122.92	$298.12	$607.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.69 / $220.14 / $559.24	Professional		$122.69	$220.14	$559.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.21 / $57.02 / $141.63	Professional	26	$34.21	$57.02	$141.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $86.43 / $169.28 / $417.61	Professional	TC	$86.43	$169.28	$417.61
United Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $220.14 / $393.92	Professional		$131.00	$220.14	$393.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.56 / $57.77 / $96.62	Professional	26	$31.56	$57.77	$96.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.04 / $170.36 / $294.16	Professional	TC	$97.04	$170.36	$294.16