Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $195.70 / $400.89	Facility		$34.59	$195.70	$400.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.94 / $9.94 / $16.79	Facility	26	$9.94	$9.94	$16.79
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.66 / $24.66 / $396.15	Facility	TC	$24.66	$24.66	$396.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $34.59 / $136.88	Professional		$27.75	$34.59	$136.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.74 / $11.36 / $40.50	Professional	26	$8.74	$11.36	$40.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $24.57 / $64.08	Professional	TC	$19.28	$24.57	$64.08
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 $8.06 / $8.06 / $8.06	Facility	26	$8.06	$8.06	$8.06
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $20.44 / $20.44 / $20.44	Facility	TC	$20.44	$20.44	$20.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $95.76 / $116.14	Professional		$57.65	$95.76	$116.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $28.05 / $34.02	Professional	26	$16.89	$28.05	$34.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.10 / $67.70 / $82.12	Professional	TC	$45.10	$67.70	$82.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.28 / $115.68 / $284.45	Facility		$68.28	$115.68	$284.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.30 / $32.72 / $80.45	Facility	26	$19.30	$32.72	$80.45
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $48.97 / $82.96 / $204.01	Facility	TC	$48.97	$82.96	$204.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $63.81 / $106.81	Professional		$37.32	$63.81	$106.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $18.05 / $30.46	Professional	26	$11.79	$18.05	$30.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.69 / $45.76 / $76.59	Professional	TC	$25.69	$45.76	$76.59
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $60.81 / $104.26 / $223.99	Facility		$60.81	$104.26	$223.99
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $17.20 / $29.49 / $63.35	Facility	26	$17.20	$29.49	$63.35
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $43.61 / $74.77 / $160.63	Facility	TC	$43.61	$74.77	$160.63
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $59.47 / $101.43	Professional		$50.24	$59.47	$101.43
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $14.21 / $16.82 / $28.69	Professional	26	$14.21	$16.82	$28.69
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $36.03 / $42.65 / $72.73	Professional	TC	$36.03	$42.65	$72.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.95 / $65.16 / $252.00	Facility		$34.95	$65.16	$252.00
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 $143.79 / $315.64 / $398.98	Facility	TC	$143.79	$315.64	$398.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $63.62 / $218.00	Professional		$33.54	$63.62	$218.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $21.26 / $87.52	Professional	26	$11.52	$21.26	$87.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $41.56 / $206.00	Professional	TC	$21.65	$41.56	$206.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $57.30 / $102.34	Professional		$32.11	$57.30	$102.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $18.48 / $31.92	Professional	26	$10.47	$18.48	$31.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $39.25 / $66.01	Professional	TC	$21.65	$39.25	$66.01