Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.96 / $323.67 / $717.38	Facility		$153.96	$323.67	$717.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.61 / $64.61 / $64.61	Facility	26	$64.61	$64.61	$64.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $116.74 / $513.00	Professional		$103.70	$116.74	$513.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.22 / $130.76 / $783.75	Professional	26	$51.22	$130.76	$783.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.10 / $76.88 / $194.98	Professional	TC	$58.10	$76.88	$194.98
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 $260.19 / $396.75 / $611.29	Professional		$260.19	$396.75	$611.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.16 / $159.65 / $245.98	Professional	26	$105.16	$159.65	$245.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $156.18 / $250.26 / $365.31	Professional	TC	$156.18	$250.26	$365.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.45 / $1,218.31 / $1,459.67	Facility		$266.45	$1,218.31	$1,459.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.48 / $486.84 / $583.29	Facility	26	$106.48	$486.84	$583.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $272.22 / $379.00	Professional		$216.49	$272.22	$379.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.68 / $106.48 / $148.24	Professional	26	$84.68	$106.48	$148.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.81 / $165.75 / $230.76	Professional	TC	$131.81	$165.75	$230.76
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $209.80 / $1,149.34 / $1,149.34	Facility		$209.80	$1,149.34	$1,149.34
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $83.84 / $459.29 / $459.29	Facility	26	$83.84	$459.29	$459.29
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $214.35 / $214.35 / $314.77	Professional		$214.35	$214.35	$314.77
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $83.84 / $83.84 / $123.12	Professional	26	$83.84	$83.84	$123.12
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $130.51 / $130.51 / $191.65	Professional	TC	$130.51	$130.51	$191.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.04 / $305.33 / $411.00	Facility		$95.04	$305.33	$411.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $305.79 / $305.79 / $305.79	Facility	26	$305.79	$305.79	$305.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $308.74 / $1,961.76	Professional		$124.99	$308.74	$1,961.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $131.35 / $226.91 / $298.07	Professional	26	$131.35	$226.91	$298.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $64.81 / $163.58 / $557.54	Professional	TC	$64.81	$163.58	$557.54
United Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $281.23 / $419.31	Professional		$124.99	$281.23	$419.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.04 / $127.00 / $194.31	Professional	26	$59.04	$127.00	$194.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.91 / $148.12 / $218.97	Professional	TC	$64.91	$148.12	$218.97