Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $309.03 / $489.78	Facility		$128.82	$309.03	$489.78
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $8.13 / $14.45	Facility	26	$7.94	$8.13	$14.45
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 $9.55 / $35.48 / $128.82	Professional		$9.55	$35.48	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $15.14 / $42.66	Professional	26	$7.76	$15.14	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $34.67 / $87.10 / $213.80	Professional	50	$34.67	$87.10	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $37.15 / $81.28	Professional	TC	$19.95	$37.15	$81.28
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 $19.50 / $22.39 / $22.39	Facility	TC	$19.50	$22.39	$22.39
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 $51.29 / $123.03 / $295.12	Facility		$51.29	$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 $34.67 / $60.26 / $100.00	Professional		$34.67	$60.26	$100.00
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 $25.12 / $46.77 / $77.62	Professional	TC	$25.12	$46.77	$77.62
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.23 / $234.42	Facility		$95.50	$120.23	$234.42
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 / $177.83	Facility	TC	$72.44	$89.13	$177.83
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 $41.69 / $128.82 / $331.13	Facility		$41.69	$128.82	$331.13
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 $208.93 / $263.03 / $371.54	Facility	TC	$208.93	$263.03	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $75.86 / $208.93	Professional		$31.62	$75.86	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $20.42 / $48.98	Professional	26	$10.47	$20.42	$48.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $40.74 / $177.83	Professional	TC	$22.39	$40.74	$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 $30.90 / $53.70 / $97.72	Professional		$30.90	$53.70	$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 $22.39 / $38.90 / $74.13	Professional	TC	$22.39	$38.90	$74.13