Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $75.86 / $316.23	Facility		$52.48	$75.86	$316.23
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $75.86 / $204.17	Professional		$38.90	$75.86	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $34.67 / $112.20	Professional	26	$25.70	$34.67	$112.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $51.29 / $120.23 / $331.13	Professional	50	$51.29	$120.23	$331.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.22 / $16.22 / $20.89	Professional	52	$16.22	$16.22	$20.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $32.36 / $125.89	Professional	TC	$15.14	$32.36	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $257.04 / $588.84	Facility		$151.36	$257.04	$588.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $26.92 / $26.92	Facility	26	$22.91	$26.92	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $165.96	Professional		$69.18	$114.82	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $70.79 / $104.71	Professional	26	$43.65	$70.79	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $44.67 / $63.10	Professional	TC	$26.92	$44.67	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $173.78 / $426.58	Facility		$100.00	$173.78	$426.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $97.72 / $269.15	Facility	26	$23.99	$97.72	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $204.17	Professional		$69.18	$125.89	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $75.86 / $128.82	Professional	26	$30.90	$75.86	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $51.29 / $77.62	Professional	TC	$27.54	$51.29	$77.62
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $169.82 / $331.13	Facility		$138.04	$169.82	$331.13
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $107.15 / $208.93	Facility	26	$87.10	$107.15	$208.93
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $190.55	Professional		$81.28	$125.89	$190.55
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $75.86 / $120.23	Professional	26	$51.29	$75.86	$120.23
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $46.77 / $70.79	Professional	TC	$30.20	$46.77	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $102.33 / $181.97	Facility		$47.86	$102.33	$181.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	26	$134.90	$134.90	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $125.89 / $457.09	Professional		$63.10	$125.89	$457.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $53.70 / $190.55	Professional	26	$28.84	$53.70	$190.55
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $69.18 / $316.23	Professional	TC	$30.20	$69.18	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $346.74 / $467.74	Facility		$338.84	$346.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $112.20 / $190.55	Professional		$58.88	$112.20	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $47.86 / $93.33	Professional	26	$30.20	$47.86	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $56.23 / $109.65	Professional	TC	$26.92	$56.23	$109.65