Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $150.47 / $513.42	Facility		$143.47	$150.47	$513.42
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.44 / $22.44 / $22.44	Facility	26	$22.44	$22.44	$22.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $171.85 / $359.74	Professional		$119.29	$171.85	$359.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.69 / $22.44 / $34.14	Professional	26	$19.69	$22.44	$34.14
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $58.91 / $71.73 / $92.28	Professional	52	$58.91	$71.73	$92.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.37 / $128.00 / $197.70	Professional	TC	$102.37	$128.00	$197.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.14 / $428.45 / $959.88	Facility		$202.14	$428.45	$959.88
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Facility	26	$16.98	$16.98	$16.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.83 / $345.98 / $458.68	Professional		$201.83	$345.98	$458.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.69 / $56.53 / $75.08	Professional	26	$32.69	$56.53	$75.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $189.79 / $310.49 / $383.60	Professional	TC	$189.79	$310.49	$383.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.76 / $469.41 / $1,129.24	Facility		$300.76	$469.41	$1,129.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.92 / $71.67 / $172.40	Facility	26	$45.92	$71.67	$172.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.72 / $361.25 / $562.54	Professional		$176.72	$361.25	$562.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $55.44 / $86.32	Professional	26	$25.80	$55.44	$86.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $153.37 / $305.82 / $476.22	Professional	TC	$153.37	$305.82	$476.22
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $260.64 / $428.37 / $889.16	Facility		$260.64	$428.37	$889.16
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $39.79 / $63.19 / $135.75	Facility	26	$39.79	$63.19	$135.75
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $221.46 / $352.92 / $508.30	Professional		$221.46	$352.92	$508.30
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $53.95 / $78.00	Professional	26	$33.97	$53.95	$78.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $187.48 / $299.04 / $430.30	Professional	TC	$187.48	$299.04	$430.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.38 / $249.83 / $410.85	Facility		$138.38	$249.83	$410.85
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $176.87 / $176.87 / $176.87	Facility	26	$176.87	$176.87	$176.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.04 / $278.93 / $1,173.20	Professional		$154.04	$278.93	$1,173.20
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.06 / $44.57 / $310.41	Professional	26	$24.06	$44.57	$310.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $129.08 / $233.46 / $1,048.79	Professional	TC	$129.08	$233.46	$1,048.79
United Facility/Professional Professional Modifier Low / Median / High Price $135.31 / $264.56 / $476.48	Professional		$135.31	$264.56	$476.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.95 / $51.91 / $87.90	Professional	26	$24.95	$51.91	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.46 / $219.99 / $412.88	Professional	TC	$123.46	$219.99	$412.88