Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.63 / $281.00 / $439.06	Facility		$82.63	$281.00	$439.06
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.24 / $8.89 / $15.11	Facility	26	$8.24	$8.89	$15.11
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.25 / $162.27 / $352.51	Facility	TC	$18.25	$162.27	$352.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.61 / $110.00	Professional		$17.78	$25.61	$110.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $10.38 / $43.12	Professional	26	$8.01	$10.38	$43.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.69 / $16.62 / $30.84	Professional	TC	$9.69	$16.62	$30.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.11 / $181.55 / $356.46	Facility		$105.11	$181.55	$356.46
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 $14.97 / $14.97 / $14.97	Facility	TC	$14.97	$14.97	$14.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $74.48 / $90.33	Professional		$45.42	$74.48	$90.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $24.18 / $29.33	Professional	26	$15.14	$24.18	$29.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.63 / $50.29 / $61.00	Professional	TC	$35.63	$50.29	$61.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $88.80 / $218.38	Facility		$52.42	$88.80	$218.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.55 / $28.04 / $68.95	Facility	26	$16.55	$28.04	$68.95
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.86 / $60.76 / $149.41	Facility	TC	$35.86	$60.76	$149.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $49.63 / $83.76	Professional		$22.92	$49.63	$83.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $16.11 / $27.66	Professional	26	$10.18	$16.11	$27.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.26 / $33.52 / $55.41	Professional	TC	$13.26	$33.52	$55.41
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $80.04 / $171.95	Facility		$46.68	$80.04	$171.95
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $14.74 / $25.27 / $54.30	Facility	26	$14.74	$25.27	$54.30
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $31.94 / $54.76 / $117.65	Facility	TC	$31.94	$54.76	$117.65
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $46.25 / $78.89	Professional		$39.08	$46.25	$78.89
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 $26.39 / $31.24 / $53.27	Professional	TC	$26.39	$31.24	$53.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $114.68 / $274.73	Facility		$35.61	$114.68	$274.73
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $167.81 / $238.99 / $314.00	Facility	TC	$167.81	$238.99	$314.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $38.67 / $130.66	Professional		$23.38	$38.67	$130.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $23.03 / $52.08	Professional	26	$12.78	$23.03	$52.08
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $13.91 / $21.20 / $110.07	Professional	TC	$13.91	$21.20	$110.07
United Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $47.23 / $87.90	Professional		$24.68	$47.23	$87.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $16.25 / $28.60	Professional	26	$9.38	$16.25	$28.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.91 / $21.24 / $51.40	Professional	TC	$13.91	$21.24	$51.40