Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.31 / $1,105.88 / $1,218.18	Facility		$201.31	$1,105.88	$1,218.18
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.39 / $39.39 / $39.39	Facility	26	$39.39	$39.39	$39.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.61 / $201.31 / $351.10	Professional		$169.61	$201.31	$351.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $39.39 / $128.61	Professional	26	$30.82	$39.39	$128.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.29 / $162.49 / $218.57	Professional	TC	$133.29	$162.49	$218.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.25 / $499.56 / $966.86	Facility		$246.25	$499.56	$966.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.23 / $30.23 / $30.23	Facility	26	$30.23	$30.23	$30.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.14 / $478.70 / $634.65	Professional		$279.14	$478.70	$634.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.15 / $99.10 / $131.38	Professional	26	$59.15	$99.10	$131.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $249.00 / $402.61 / $507.06	Professional	TC	$249.00	$402.61	$507.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.56 / $648.58 / $1,560.24	Facility		$415.56	$648.58	$1,560.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.12 / $126.61 / $304.58	Facility	26	$81.12	$126.61	$304.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.52 / $498.00 / $775.48	Professional		$243.52	$498.00	$775.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.91 / $98.86 / $153.94	Professional	26	$41.91	$98.86	$153.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $201.92 / $399.14 / $621.53	Professional	TC	$201.92	$399.14	$621.53
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $360.12 / $591.87 / $1,228.54	Facility		$360.12	$591.87	$1,228.54
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $70.30 / $115.54 / $239.83	Facility	26	$70.30	$115.54	$239.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $305.29 / $487.63 / $700.70	Professional		$305.29	$487.63	$700.70
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $60.60 / $96.20 / $139.10	Professional	26	$60.60	$96.20	$139.10
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $244.68 / $392.44 / $561.60	Professional	TC	$244.68	$392.44	$561.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.63 / $322.29 / $557.47	Facility		$191.63	$322.29	$557.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $172.60 / $172.60 / $172.60	Facility	26	$172.60	$172.60	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $387.56 / $1,459.71	Professional		$211.20	$387.56	$1,459.71
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.54 / $79.22 / $361.59	Professional	26	$40.54	$79.22	$361.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $170.74 / $310.44 / $1,274.61	Professional	TC	$170.74	$310.44	$1,274.61
United Facility/Professional Professional Modifier Low / Median / High Price $193.57 / $360.55 / $654.10	Professional		$193.57	$360.55	$654.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.42 / $74.08 / $140.65	Professional	26	$40.42	$74.08	$140.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.14 / $294.92 / $557.58	Professional	TC	$165.14	$294.92	$557.58