Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.81 / $225.88 / $406.32	Facility		$37.81	$225.88	$406.32
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.89 / $8.89 / $15.11	Facility	26	$8.89	$8.89	$15.11
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.92 / $28.92 / $28.92	Facility	TC	$28.92	$28.92	$28.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $37.21 / $71.77	Professional		$29.50	$37.21	$71.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.61 / $48.39	Professional	26	$7.59	$10.61	$48.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.51 / $25.93 / $40.58	Professional	TC	$21.51	$25.93	$40.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.94 / $230.55 / $444.65	Facility		$133.94	$230.55	$444.65
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.20 / $7.20 / $7.20	Facility	26	$7.20	$7.20	$7.20
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $23.90 / $23.90 / $23.90	Facility	TC	$23.90	$23.90	$23.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $104.46 / $126.69	Professional		$62.89	$104.46	$126.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $25.15 / $30.50	Professional	26	$15.14	$25.15	$30.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.63 / $79.31 / $96.19	Professional	TC	$53.63	$79.31	$96.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $126.19 / $310.32	Facility		$74.48	$126.19	$310.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.23 / $29.21 / $71.83	Facility	26	$17.23	$29.21	$71.83
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $57.25 / $96.98 / $238.49	Facility	TC	$57.25	$96.98	$238.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $69.61 / $115.22	Professional		$39.84	$69.61	$115.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.62 / $16.11 / $27.19	Professional	26	$11.62	$16.11	$27.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.02 / $53.50 / $88.55	Professional	TC	$27.02	$53.50	$88.55
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $66.33 / $113.73 / $244.35	Facility		$66.33	$113.73	$244.35
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $15.36 / $26.33 / $56.56	Facility	26	$15.36	$26.33	$56.56
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $50.98 / $87.41 / $187.79	Facility	TC	$50.98	$87.41	$187.79
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $54.81 / $64.88 / $110.65	Professional		$54.81	$64.88	$110.65
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.69 / $15.02 / $25.61	Professional	26	$12.69	$15.02	$25.61
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $42.12 / $49.86 / $85.03	Professional	TC	$42.12	$49.86	$85.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $63.90 / $210.44	Facility		$37.20	$63.90	$210.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $124.11 / $228.96 / $265.92	Facility	TC	$124.11	$228.96	$265.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $65.92 / $230.47	Professional		$36.09	$65.92	$230.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.45 / $20.89 / $77.59	Professional	26	$11.45	$20.89	$77.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $44.21 / $214.00	Professional	TC	$25.62	$44.21	$214.00
United Facility/Professional Facility Modifier Low / Median / High Price $256.41 / $277.88 / $351.82	Facility		$256.41	$277.88	$351.82
United Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $58.51 / $111.75	Professional		$35.86	$58.51	$111.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $19.16 / $32.42	Professional	26	$10.47	$19.16	$32.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $42.88 / $86.83	Professional	TC	$25.62	$42.88	$86.83