Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $169.24 / $414.73	Facility		$33.90	$169.24	$414.73
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.19 / $8.19 / $12.28	Facility	26	$8.19	$8.19	$12.28
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.72 / $25.72 / $25.72	Facility	TC	$25.72	$25.72	$25.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $32.92 / $83.88	Professional		$22.42	$32.92	$83.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $9.02 / $41.80	Professional	26	$7.00	$9.02	$41.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $23.55 / $47.29	Professional	TC	$18.82	$23.55	$47.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.59 / $202.67 / $400.03	Facility		$117.59	$202.67	$400.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.33 / $6.33 / $6.33	Facility	26	$6.33	$6.33	$6.33
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 $55.90 / $92.86 / $112.62	Professional		$55.90	$92.86	$112.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.40 / $22.25 / $26.98	Professional	26	$13.40	$22.25	$26.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.01 / $70.61 / $85.64	Professional	TC	$45.01	$70.61	$85.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $112.17 / $275.83	Facility		$66.20	$112.17	$275.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.17 / $25.71 / $63.21	Facility	26	$15.17	$25.71	$63.21
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 $34.32 / $61.87 / $102.42	Professional		$34.32	$61.87	$102.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $14.18 / $23.93	Professional	26	$9.27	$14.18	$23.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.07 / $47.69 / $79.84	Professional	TC	$24.07	$47.69	$79.84
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $101.10 / $217.20	Facility		$58.96	$101.10	$217.20
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $13.51 / $23.17 / $49.78	Facility	26	$13.51	$23.17	$49.78
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 $48.72 / $57.67 / $98.35	Professional		$48.72	$57.67	$98.35
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $13.22 / $22.54	Professional	26	$11.17	$13.22	$22.54
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 $33.94 / $62.46 / $226.18	Facility		$33.94	$62.46	$226.18
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 $154.61 / $243.87 / $345.39	Facility	TC	$154.61	$243.87	$345.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $57.17 / $204.50	Professional		$31.76	$57.17	$204.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $17.26 / $74.30	Professional	26	$8.99	$17.26	$74.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.99 / $39.27 / $176.00	Professional	TC	$22.99	$39.27	$176.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $52.08 / $96.83	Professional		$30.17	$52.08	$96.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $14.31 / $26.40	Professional	26	$8.66	$14.31	$26.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $37.61 / $67.01	Professional	TC	$21.94	$37.61	$67.01