Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.24 / $704.31 / $928.48	Facility		$63.24	$704.31	$928.48
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.61 / $20.61 / $20.61	Facility	26	$20.61	$20.61	$20.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $63.24 / $316.35	Professional		$45.66	$63.24	$316.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.29 / $24.58 / $102.60	Professional	26	$16.29	$24.58	$102.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.66 / $42.63 / $213.75	Professional	TC	$27.66	$42.63	$213.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.68 / $92.77 / $107.78	Facility		$92.68	$92.77	$107.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $162.81 / $241.31	Professional		$100.25	$162.81	$241.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.90 / $51.37 / $79.15	Professional	26	$32.90	$51.37	$79.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.55 / $117.99 / $171.70	Professional	TC	$75.55	$117.99	$171.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.63 / $501.23 / $600.54	Facility		$109.63	$501.23	$600.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.10 / $155.88 / $186.77	Facility	26	$34.10	$155.88	$186.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $111.72 / $155.54	Professional		$88.85	$111.72	$155.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.11 / $34.09 / $47.47	Professional	26	$27.11	$34.09	$47.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.74 / $77.63 / $108.08	Professional	TC	$61.74	$77.63	$108.08
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $86.32 / $472.86 / $472.86	Facility		$86.32	$472.86	$472.86
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $26.85 / $147.06 / $147.06	Facility	26	$26.85	$147.06	$147.06
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $87.97 / $87.97 / $129.18	Professional		$87.97	$87.97	$129.18
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $26.85 / $26.85 / $39.42	Professional	26	$26.85	$26.85	$39.42
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $61.12 / $61.12 / $89.76	Professional	TC	$61.12	$61.12	$89.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.25 / $106.88 / $203.83	Facility		$61.25	$106.88	$203.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $113.52 / $113.52 / $113.52	Facility	26	$113.52	$113.52	$113.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $123.93 / $407.64	Professional		$50.56	$123.93	$407.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $72.39 / $147.25	Professional	26	$23.46	$72.39	$147.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.69 / $79.04 / $268.50	Professional	TC	$31.69	$79.04	$268.50
United Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $122.95 / $192.26	Professional		$51.04	$122.95	$192.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $42.43 / $61.62	Professional	26	$18.82	$42.43	$61.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.18 / $72.41 / $137.69	Professional	TC	$32.18	$72.41	$137.69