Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.71 / $161.71 / $360.40	Facility		$161.71	$161.71	$360.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.34 / $35.34 / $35.34	Facility	26	$35.34	$35.34	$35.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.98 / $161.71 / $579.63	Professional		$117.98	$161.71	$579.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.91 / $35.34 / $125.49	Professional	26	$27.91	$35.34	$125.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.78 / $126.37 / $633.76	Professional	TC	$75.78	$126.37	$633.76
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 $251.04 / $410.18 / $631.99	Professional		$251.04	$410.18	$631.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.79 / $87.73 / $135.16	Professional	26	$57.79	$87.73	$135.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $193.35 / $340.35 / $496.82	Professional	TC	$193.35	$340.35	$496.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.23 / $1,266.28 / $1,517.14	Facility		$292.23	$1,266.28	$1,517.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.43 / $266.20 / $318.94	Facility	26	$61.43	$266.20	$318.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.52 / $291.12 / $368.73	Professional		$231.52	$291.12	$368.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.30 / $61.99 / $78.51	Professional	26	$49.30	$61.99	$78.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.23 / $229.13 / $290.20	Professional	TC	$182.23	$229.13	$290.20
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $230.10 / $1,194.59 / $1,194.59	Facility		$230.10	$1,194.59	$1,194.59
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $48.37 / $251.14 / $251.14	Facility	26	$48.37	$251.14	$251.14
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $229.23 / $229.23 / $327.96	Professional		$229.23	$229.23	$327.96
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $48.81 / $48.81 / $69.83	Professional	26	$48.81	$48.81	$69.83
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $180.42 / $180.42 / $258.13	Professional	TC	$180.42	$180.42	$258.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.50 / $281.24 / $521.28	Facility		$84.50	$281.24	$521.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.67 / $213.67 / $213.67	Facility	26	$213.67	$213.67	$213.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.43 / $348.58 / $712.19	Professional		$139.43	$348.58	$712.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.97 / $104.35 / $161.18	Professional	26	$39.97	$104.35	$161.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $106.92 / $244.39 / $549.53	Professional	TC	$106.92	$244.39	$549.53
United Facility/Professional Professional Modifier Low / Median / High Price $139.43 / $317.54 / $460.69	Professional		$139.43	$317.54	$460.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.51 / $73.15 / $105.22	Professional	26	$32.51	$73.15	$105.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.96 / $244.39 / $355.47	Professional	TC	$106.96	$244.39	$355.47