Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $269.15 / $426.58	Facility		$95.50	$269.15	$426.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $8.13 / $15.14	Facility	26	$7.94	$8.13	$15.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.38 / $123.03 / $309.03	Facility	TC	$17.38	$123.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $87.10	Professional		$19.05	$30.20	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.55 / $40.74	Professional	26	$7.94	$9.55	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $18.20 / $46.77	Professional	TC	$10.96	$18.20	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $208.93 / $537.03	Facility		$117.49	$208.93	$537.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.17 / $7.08 / $7.08	Facility	26	$6.17	$7.08	$7.08
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $13.18 / $15.14 / $15.14	Facility	TC	$13.18	$15.14	$15.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $93.33	Professional		$43.65	$64.57	$93.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $21.38 / $30.90	Professional	26	$14.79	$21.38	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $43.65 / $63.10	Professional	TC	$30.20	$43.65	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $93.33 / $229.09	Facility		$40.74	$93.33	$229.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $26.30 / $72.44	Facility	26	$7.08	$26.30	$72.44
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $13.49 / $56.23 / $154.88	Facility	TC	$13.49	$56.23	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $47.86 / $81.28	Professional		$22.39	$47.86	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.22 / $26.92	Professional	26	$10.00	$16.22	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $30.90 / $52.48	Professional	TC	$13.18	$30.90	$52.48
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $91.20 / $177.83	Facility		$74.13	$91.20	$177.83
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $30.20 / $56.23	Facility	26	$23.44	$30.20	$56.23
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $50.12 / $63.10 / $123.03	Facility	TC	$50.12	$63.10	$123.03
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $64.57	Professional		$38.90	$38.90	$64.57
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $12.59 / $20.89	Professional	26	$12.59	$12.59	$20.89
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $26.30 / $41.69	Professional	TC	$26.30	$26.30	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $158.49 / $288.40	Facility		$42.66	$158.49	$288.40
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $165.96 / $239.88 / $323.59	Facility	TC	$165.96	$239.88	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $37.15 / $162.18	Professional		$21.38	$37.15	$162.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $23.99 / $52.48	Professional	26	$14.45	$23.99	$52.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $20.89 / $109.65	Professional	TC	$12.59	$20.89	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $223.87 / $302.00	Facility		$218.78	$223.87	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $79.43	Professional		$22.91	$35.48	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.49 / $26.92	Professional	26	$8.91	$15.49	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $20.89 / $52.48	Professional	TC	$13.18	$20.89	$52.48