Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $295.12 / $524.81	Facility		$109.65	$295.12	$524.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $257.04	Facility	26	$8.91	$8.91	$257.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.92 / $83.18 / $851.14	Facility	TC	$26.92	$83.18	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $38.90 / $138.04	Professional		$8.91	$38.90	$138.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.80 / $45.71	Professional	26	$8.32	$13.80	$45.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $31.62 / $79.43 / $208.93	Professional	50	$31.62	$79.43	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $40.74 / $128.82	Professional	TC	$20.89	$40.74	$128.82
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 $6.61 / $7.76 / $7.76	Facility	26	$6.61	$7.76	$7.76
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $23.99 / $23.99	Facility	TC	$20.89	$23.99	$23.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $123.03	Professional		$57.54	$83.18	$123.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $21.38 / $32.36	Professional	26	$14.79	$21.38	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $64.57 / $93.33	Professional	TC	$42.66	$64.57	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $131.83 / $316.23	Facility		$81.28	$131.83	$316.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $28.18 / $77.62	Facility	26	$7.41	$28.18	$77.62
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $19.95 / $87.10 / $239.88	Facility	TC	$19.95	$87.10	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $104.71	Professional		$32.36	$60.26	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $16.60 / $26.92	Professional	26	$9.77	$16.60	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $46.77 / $79.43	Professional	TC	$22.91	$46.77	$79.43
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $125.89 / $245.47	Facility		$102.33	$125.89	$245.47
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $31.62 / $61.66	Facility	26	$25.12	$31.62	$61.66
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $75.86 / $93.33 / $186.21	Facility	TC	$75.86	$93.33	$186.21
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $83.18	Professional		$52.48	$52.48	$83.18
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $13.18 / $20.42	Professional	26	$13.18	$13.18	$20.42
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $39.81 / $61.66	Professional	TC	$39.81	$39.81	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $154.88 / $316.23	Facility		$48.98	$154.88	$316.23
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 $186.21 / $269.15 / $363.08	Facility	TC	$186.21	$269.15	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $100.00 / $204.17	Professional		$33.88	$100.00	$204.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $23.99 / $51.29	Professional	26	$12.59	$23.99	$51.29
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	50	$30.20	$30.20	$30.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $38.90 / $177.83	Professional	TC	$21.88	$38.90	$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 $31.62 / $50.12 / $104.71	Professional		$31.62	$50.12	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $16.22 / $28.18	Professional	26	$9.33	$16.22	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $35.48 / $77.62	Professional	TC	$21.88	$35.48	$77.62