Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.58 / $422.40 / $1,001.34	Facility		$143.58	$422.40	$1,001.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.06 / $24.06 / $24.06	Facility	26	$24.06	$24.06	$24.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $137.59 / $356.93	Professional		$106.00	$137.59	$356.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.54 / $24.14 / $104.82	Professional	26	$18.54	$24.14	$104.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.37 / $113.45 / $177.11	Professional	TC	$99.37	$113.45	$177.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.29 / $341.57 / $772.72	Facility		$142.29	$341.57	$772.72
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.42 / $18.42 / $18.42	Facility	26	$18.42	$18.42	$18.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $381.59 / $506.78	Professional		$220.51	$381.59	$506.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.77 / $60.07 / $79.77	Professional	26	$34.77	$60.07	$79.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $211.27 / $345.62 / $430.24	Professional	TC	$211.27	$345.62	$430.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.91 / $519.58 / $1,249.92	Facility		$332.91	$519.58	$1,249.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.74 / $77.64 / $186.77	Facility	26	$49.74	$77.64	$186.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.37 / $396.36 / $617.22	Professional		$190.37	$396.36	$617.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $59.13 / $92.08	Professional	26	$25.80	$59.13	$92.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.81 / $337.23 / $525.14	Professional	TC	$169.81	$337.23	$525.14
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $288.49 / $474.15 / $984.19	Facility		$288.49	$474.15	$984.19
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $43.11 / $70.84 / $147.06	Facility	26	$43.11	$70.84	$147.06
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $242.99 / $390.64 / $557.70	Professional		$242.99	$390.64	$557.70
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $36.25 / $58.36 / $83.20	Professional	26	$36.25	$58.36	$83.20
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $206.74 / $332.27 / $474.50	Professional	TC	$206.74	$332.27	$474.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.93 / $251.73 / $505.81	Facility		$136.93	$251.73	$505.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $161.00 / $161.00 / $161.00	Facility	26	$161.00	$161.00	$161.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $309.62 / $1,223.39	Professional		$168.32	$309.62	$1,223.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.92 / $49.90 / $237.75	Professional	26	$25.92	$49.90	$237.75
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $142.16 / $263.76 / $1,114.63	Professional	TC	$142.16	$263.76	$1,114.63
United Facility/Professional Professional Modifier Low / Median / High Price $166.77 / $295.66 / $559.91	Professional		$166.77	$295.66	$559.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.90 / $44.97 / $87.11	Professional	26	$24.90	$44.97	$87.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.52 / $255.60 / $471.29	Professional	TC	$134.52	$255.60	$471.29