Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $199.53 / $407.38	Facility		$81.28	$199.53	$407.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $20.42	Facility	26	$7.94	$7.94	$20.42
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $25.12 / $275.42	Facility	TC	$25.12	$25.12	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $128.82	Professional		$25.70	$41.69	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $13.18 / $34.67	Professional	26	$7.08	$13.18	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.92 / $66.07	Professional	TC	$19.05	$26.92	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $234.42 / $630.96	Facility		$138.04	$234.42	$630.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.17 / $7.08 / $7.08	Facility	26	$6.17	$7.08	$7.08
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $21.38 / $21.38	Facility	TC	$18.62	$21.38	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $117.49	Professional		$53.70	$77.62	$117.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $19.95 / $29.51	Professional	26	$13.80	$19.95	$29.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $60.26 / $87.10	Professional	TC	$39.81	$60.26	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $123.03 / $295.12	Facility		$75.86	$123.03	$295.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $26.30 / $72.44	Facility	26	$6.76	$26.30	$72.44
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $19.05 / $81.28 / $223.87	Facility	TC	$19.05	$81.28	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $97.72	Professional		$32.36	$57.54	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $15.49 / $25.12	Professional	26	$9.12	$15.49	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $45.71 / $75.86	Professional	TC	$22.91	$45.71	$75.86
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $117.49 / $229.09	Facility		$95.50	$117.49	$229.09
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $28.84 / $56.23	Facility	26	$23.44	$28.84	$56.23
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $72.44 / $89.13 / $173.78	Facility	TC	$72.44	$89.13	$173.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $77.62	Professional		$50.12	$50.12	$77.62
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $12.30 / $19.05	Professional	26	$12.30	$12.30	$19.05
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $37.15 / $58.88	Professional	TC	$37.15	$37.15	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $64.57 / $257.04	Facility		$33.88	$64.57	$257.04
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 $169.82 / $245.47 / $331.13	Facility	TC	$169.82	$245.47	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $63.10 / $208.93	Professional		$30.20	$63.10	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $18.20 / $83.18	Professional	26	$9.12	$18.20	$83.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $36.31 / $177.83	Professional	TC	$21.38	$36.31	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $223.87 / $302.00	Facility		$218.78	$223.87	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $97.72	Professional		$30.20	$47.86	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.79 / $25.70	Professional	26	$8.51	$14.79	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $34.67 / $72.44	Professional	TC	$21.38	$34.67	$72.44