Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.07 / $265.77 / $577.71	Facility		$63.07	$265.77	$577.71
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.19 / $10.99 / $18.68	Facility	26	$10.19	$10.99	$18.68
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.06 / $52.80 / $520.70	Facility	TC	$31.06	$52.80	$520.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $44.21 / $165.30	Professional		$32.84	$44.21	$165.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.67 / $11.82 / $45.60	Professional	26	$9.67	$11.82	$45.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $31.06 / $127.00	Professional	TC	$24.54	$31.06	$127.00
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 $8.92 / $8.92 / $8.92	Facility	26	$8.92	$8.92	$8.92
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $25.33 / $25.33 / $25.33	Facility	TC	$25.33	$25.33	$25.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $116.06 / $140.77	Professional		$69.30	$116.06	$140.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.63 / $30.95 / $37.54	Professional	26	$18.63	$30.95	$37.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.77 / $85.11 / $103.23	Professional	TC	$53.77	$85.11	$103.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.77 / $140.21 / $344.81	Facility		$82.77	$140.21	$344.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $36.22 / $89.07	Facility	26	$21.38	$36.22	$89.07
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $61.39 / $103.99 / $255.73	Facility	TC	$61.39	$103.99	$255.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $76.70 / $126.96	Professional		$41.43	$76.70	$126.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.26 / $19.98 / $33.72	Professional	26	$12.26	$19.98	$33.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.07 / $56.72 / $94.94	Professional	TC	$29.07	$56.72	$94.94
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $126.37 / $271.50	Facility		$73.70	$126.37	$271.50
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.04 / $32.65 / $70.14	Facility	26	$19.04	$32.65	$70.14
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $54.66 / $93.73 / $201.36	Facility	TC	$54.66	$93.73	$201.36
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $60.39 / $71.48 / $121.92	Professional		$60.39	$71.48	$121.92
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 $44.66 / $52.86 / $90.16	Professional	TC	$44.66	$52.86	$90.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $103.14 / $331.60	Facility		$45.76	$103.14	$331.60
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 $214.14 / $296.64 / $414.84	Facility	TC	$214.14	$296.64	$414.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $95.00 / $197.98	Professional		$39.74	$95.00	$197.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.56 / $26.57 / $60.42	Professional	26	$13.56	$26.57	$60.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.07 / $47.17 / $211.00	Professional	TC	$27.07	$47.17	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $63.88 / $119.59	Professional		$38.61	$63.88	$119.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $19.21 / $35.25	Professional	26	$11.55	$19.21	$35.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.61 / $43.54 / $82.53	Professional	TC	$26.61	$43.54	$82.53