Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $166.73 / $344.00	Facility		$34.26	$166.73	$344.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.53 / $8.53 / $8.53	Facility	26	$8.53	$8.53	$8.53
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.72 / $25.72 / $276.25	Facility	TC	$25.72	$25.72	$276.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $33.03 / $83.86	Professional		$26.46	$33.03	$83.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.30 / $8.55 / $34.85	Professional	26	$7.30	$8.55	$34.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $25.05 / $65.86	Professional	TC	$19.14	$25.05	$65.86
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 $6.90 / $6.90 / $6.90	Facility	26	$6.90	$6.90	$6.90
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $21.30 / $21.30 / $21.30	Facility	TC	$21.30	$21.30	$21.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $94.78 / $114.96	Professional		$57.07	$94.78	$114.96
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 $47.66 / $70.61 / $85.64	Professional	TC	$47.66	$70.61	$85.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $114.51 / $281.58	Facility		$67.59	$114.51	$281.58
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 $51.04 / $86.46 / $212.63	Facility	TC	$51.04	$86.46	$212.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $63.16 / $104.55	Professional		$33.47	$63.16	$104.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $15.47 / $26.11	Professional	26	$9.27	$15.47	$26.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.07 / $47.69 / $78.95	Professional	TC	$24.07	$47.69	$78.95
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $60.19 / $103.20 / $221.73	Facility		$60.19	$103.20	$221.73
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 $45.45 / $77.93 / $167.43	Facility	TC	$45.45	$77.93	$167.43
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $58.87 / $100.40	Professional		$49.74	$58.87	$100.40
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 $37.56 / $44.45 / $75.81	Professional	TC	$37.56	$44.45	$75.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $59.00 / $210.40	Facility		$33.75	$59.00	$210.40
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 $169.44 / $260.33 / $332.05	Facility	TC	$169.44	$260.33	$332.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $56.87 / $208.83	Professional		$31.76	$56.87	$208.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $17.55 / $82.56	Professional	26	$9.02	$17.55	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.11 / $37.90 / $176.00	Professional	TC	$22.11	$37.90	$176.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $49.39 / $96.83	Professional		$30.17	$49.39	$96.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $15.37 / $27.50	Professional	26	$8.85	$15.37	$27.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.60 / $36.33 / $69.33	Professional	TC	$21.60	$36.33	$69.33