Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $251.38 / $419.90	Facility		$29.28	$251.38	$419.90
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.53 / $8.53 / $14.51	Facility	26	$8.53	$8.53	$14.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.74 / $20.74 / $31.10	Facility	TC	$20.74	$20.74	$31.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $29.28 / $114.00	Professional		$22.86	$29.28	$114.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $8.81 / $46.55	Professional	26	$7.50	$8.81	$46.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.75 / $20.38 / $78.31	Professional	TC	$15.75	$20.38	$78.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $230.55 / $444.65	Facility		$137.93	$230.55	$444.65
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $6.90 / $6.90	Facility	26	$6.90	$6.90	$6.90
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $16.98 / $16.98 / $16.98	Facility	TC	$16.98	$16.98	$16.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $81.25 / $98.54	Professional		$48.92	$81.25	$98.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $24.18 / $29.33	Professional	26	$14.56	$24.18	$29.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.15 / $57.06 / $69.20	Professional	TC	$39.15	$57.06	$69.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.25 / $96.98 / $238.49	Facility		$57.25	$96.98	$238.49
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 $40.69 / $68.94 / $169.53	Facility	TC	$40.69	$68.94	$169.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $53.50 / $89.55	Professional		$30.68	$53.50	$89.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $15.47 / $26.11	Professional	26	$9.50	$15.47	$26.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.21 / $38.03 / $63.65	Professional	TC	$21.21	$38.03	$63.65
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $50.98 / $87.41 / $187.79	Facility		$50.98	$87.41	$187.79
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 $36.24 / $62.13 / $133.49	Facility	TC	$36.24	$62.13	$133.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $49.86 / $85.03	Professional		$42.12	$49.86	$85.03
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $14.42 / $24.59	Professional	26	$12.18	$14.42	$24.59
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $29.94 / $35.44 / $60.45	Professional	TC	$29.94	$35.44	$60.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $61.24 / $253.51	Facility		$31.33	$61.24	$253.51
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 $158.68 / $208.79 / $287.05	Facility	TC	$158.68	$208.79	$287.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $57.74 / $178.47	Professional		$28.87	$57.74	$178.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $18.76 / $77.59	Professional	26	$9.69	$18.76	$77.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.85 / $39.32 / $163.00	Professional	TC	$19.85	$39.32	$163.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $51.25 / $88.02	Professional		$28.87	$51.25	$88.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $15.60 / $27.50	Professional	26	$9.02	$15.60	$27.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.85 / $36.32 / $60.52	Professional	TC	$19.85	$36.32	$60.52