Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.39 / $629.14 / $1,813.00	Facility		$168.39	$629.14	$1,813.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.96 / $43.96 / $43.96	Facility	26	$43.96	$43.96	$43.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.08 / $211.81 / $558.00	Professional		$133.08	$211.81	$558.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.06 / $61.00 / $219.85	Professional	26	$39.06	$61.00	$219.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.18 / $138.81 / $196.80	Professional	TC	$110.18	$138.81	$196.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $534.08 / $5,180.83	Facility		$203.00	$534.08	$5,180.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $32.53 / $32.53 / $32.53	Facility	26	$32.53	$32.53	$32.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $371.41 / $478.62	Professional		$188.00	$371.41	$478.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.16 / $106.42 / $136.08	Professional	26	$56.16	$106.42	$136.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $135.00 / $280.02 / $342.55	Professional	TC	$135.00	$280.02	$342.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.86 / $493.30 / $1,186.70	Facility		$347.86	$493.30	$1,186.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.86 / $137.36 / $330.44	Facility	26	$96.86	$137.36	$330.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.32 / $303.33 / $360.76	Professional		$286.32	$303.33	$360.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.03 / $83.73 / $99.58	Professional	26	$79.03	$83.73	$99.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.65 / $205.75 / $240.21	Professional	TC	$190.65	$205.75	$240.21
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $316.07 / $450.17 / $934.41	Facility		$316.07	$450.17	$934.41
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $88.01 / $125.58 / $260.19	Facility	26	$88.01	$125.58	$260.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $283.48 / $283.48 / $284.06	Professional		$283.48	$283.48	$284.06
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $78.25 / $78.41 / $78.94	Professional	26	$78.25	$78.41	$78.94
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $188.76 / $189.15 / $204.55	Professional	TC	$188.76	$189.15	$204.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $266.88 / $633.48	Facility		$160.41	$266.88	$633.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.24 / $377.55 / $1,023.12	Professional		$201.24	$377.55	$1,023.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.12 / $98.21 / $261.30	Professional	26	$56.12	$98.21	$261.30
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $234.00 / $598.14 / $967.58	Professional	52	$234.00	$598.14	$967.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $142.52 / $259.13 / $767.60	Professional	TC	$142.52	$259.13	$767.60
United Facility/Professional Professional Modifier Low / Median / High Price $187.31 / $345.27 / $620.77	Professional		$187.31	$345.27	$620.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.35 / $92.77 / $153.79	Professional	26	$51.35	$92.77	$153.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.94 / $248.83 / $464.63	Professional	TC	$138.94	$248.83	$464.63