Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.85 / $38.85 / $229.00	Facility		$38.85	$38.85	$229.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.99 / $10.99 / $10.99	Facility	26	$10.99	$10.99	$10.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $37.29 / $158.01	Professional		$27.46	$37.29	$158.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $10.99 / $38.22	Professional	26	$9.35	$10.99	$38.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $24.65 / $65.70	Professional	TC	$19.76	$24.65	$65.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.10 / $202.67 / $400.03	Facility		$118.10	$202.67	$400.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.92 / $8.92 / $8.92	Facility	26	$8.92	$8.92	$8.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $106.39 / $129.04	Professional		$64.06	$106.39	$129.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.63 / $29.99 / $36.36	Professional	26	$18.63	$29.99	$36.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.26 / $76.41 / $92.67	Professional	TC	$48.26	$76.41	$92.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.87 / $128.53 / $316.07	Facility		$75.87	$128.53	$316.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.69 / $35.04 / $86.20	Facility	26	$20.69	$35.04	$86.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $70.90 / $117.35	Professional		$37.04	$70.90	$117.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $19.98 / $33.72	Professional	26	$11.79	$19.98	$33.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.88 / $50.92 / $84.28	Professional	TC	$24.88	$50.92	$84.28
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $115.84 / $248.88	Facility		$67.56	$115.84	$248.88
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.43 / $31.59 / $67.88	Facility	26	$18.43	$31.59	$67.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $55.83 / $66.08 / $112.70	Professional		$55.83	$66.08	$112.70
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $15.73 / $18.62 / $31.76	Professional	26	$15.73	$18.62	$31.76
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $40.09 / $47.46 / $80.94	Professional	TC	$40.09	$47.46	$80.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.17 / $64.48 / $152.72	Facility		$37.17	$64.48	$152.72
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 Professional Modifier Low / Median / High Price $36.09 / $64.38 / $236.90	Professional		$36.09	$64.38	$236.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $22.54 / $82.56	Professional	26	$11.55	$22.54	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.20 / $41.43 / $190.00	Professional	TC	$24.20	$41.43	$190.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $57.42 / $110.03	Professional		$34.33	$57.42	$110.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $21.47 / $87.90	Professional	26	$11.55	$21.47	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.31 / $39.02 / $74.81	Professional	TC	$23.31	$39.02	$74.81