Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $537.03 / $660.69	Facility		$144.54	$537.03	$660.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $331.13	Professional		$102.33	$141.25	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $23.44 / $53.70	Professional	26	$14.13	$23.44	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $114.82 / $208.93	Professional	TC	$91.20	$114.82	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $263.03	Facility		$190.55	$263.03	$263.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $41.69 / $41.69	Facility	26	$41.69	$41.69	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $524.81	Professional		$218.78	$363.08	$524.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $56.23 / $81.28	Professional	26	$34.67	$56.23	$81.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $316.23 / $436.52	Professional	TC	$194.98	$316.23	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $1,318.26	Facility		$316.23	$537.03	$1,318.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $75.86 / $190.55	Facility	26	$44.67	$75.86	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $630.96	Professional		$213.80	$407.38	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $58.88 / $91.20	Professional	26	$27.54	$58.88	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $346.74 / $537.03	Professional	TC	$190.55	$346.74	$537.03
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $537.03 / $1,047.13	Facility		$346.74	$537.03	$1,047.13
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $75.86 / $147.91	Facility	26	$50.12	$75.86	$147.91
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $575.44	Professional		$263.03	$389.05	$575.44
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $56.23 / $83.18	Professional	26	$38.02	$56.23	$83.18
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $338.84 / $501.19	Professional	TC	$223.87	$338.84	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $208.93 / $389.05	Facility		$128.82	$208.93	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $1,202.26	Professional		$158.49	$295.12	$1,202.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $45.71 / $199.53	Professional	26	$21.88	$45.71	$199.53
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $257.04 / $1,122.02	Professional	TC	$131.83	$257.04	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $512.86	Professional		$158.49	$288.40	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $42.66 / $79.43	Professional	26	$21.88	$42.66	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $245.47 / $426.58	Professional	TC	$131.83	$245.47	$426.58