Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $229.00 / $441.05	Facility		$30.71	$229.00	$441.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.19 / $8.19 / $13.92	Facility	26	$8.19	$8.19	$13.92
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.52 / $22.52 / $693.35	Facility	TC	$22.52	$22.52	$693.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $30.71 / $152.94	Professional		$21.56	$30.71	$152.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $12.55 / $41.80	Professional	26	$6.74	$12.55	$41.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.09 / $22.42 / $49.32	Professional	TC	$17.09	$22.42	$49.32
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 $6.61 / $6.61 / $6.61	Facility	26	$6.61	$6.61	$6.61
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $18.42 / $18.42 / $18.42	Facility	TC	$18.42	$18.42	$18.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $85.11 / $103.23	Professional		$51.25	$85.11	$103.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $23.21 / $28.15	Professional	26	$13.97	$23.21	$28.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.43 / $61.90 / $75.08	Professional	TC	$40.43	$61.90	$75.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.70 / $102.82 / $252.86	Facility		$60.70	$102.82	$252.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.86 / $26.87 / $66.09	Facility	26	$15.86	$26.87	$66.09
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $44.83 / $75.95 / $186.77	Facility	TC	$44.83	$75.95	$186.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $56.72 / $93.88	Professional		$30.57	$56.72	$93.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $14.82 / $24.81	Professional	26	$8.44	$14.82	$24.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $41.89 / $69.34	Professional	TC	$22.21	$41.89	$69.34
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $54.05 / $92.67 / $199.10	Facility		$54.05	$92.67	$199.10
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $24.22 / $52.04	Facility	26	$14.13	$24.22	$52.04
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $39.92 / $68.45 / $147.06	Facility	TC	$39.92	$68.45	$147.06
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $44.66 / $52.86 / $90.16	Professional		$44.66	$52.86	$90.16
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.67 / $13.82 / $23.56	Professional	26	$11.67	$13.82	$23.56
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $32.99 / $39.04 / $66.59	Professional	TC	$32.99	$39.04	$66.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $61.69 / $201.78	Facility		$32.11	$61.69	$201.78
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 $125.61 / $163.58 / $311.92	Facility	TC	$125.61	$163.58	$311.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $53.64 / $187.12	Professional		$28.87	$53.64	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $16.96 / $67.70	Professional	26	$8.66	$16.96	$67.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.21 / $36.09 / $160.00	Professional	TC	$20.21	$36.09	$160.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $45.90 / $89.40	Professional		$27.73	$45.90	$89.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $14.18 / $26.40	Professional	26	$8.66	$14.18	$26.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.21 / $35.01 / $62.58	Professional	TC	$20.21	$35.01	$62.58