Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.07 / $294.18 / $580.50	Facility		$109.07	$294.18	$580.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.91 / $8.53 / $14.51	Facility	26	$7.91	$8.53	$14.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.72 / $25.72 / $276.25	Facility	TC	$25.72	$25.72	$276.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $35.00 / $145.00	Professional		$11.21	$35.00	$145.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.82 / $37.00	Professional	26	$7.33	$8.82	$37.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.14 / $79.14 / $79.14	Professional	50	$79.14	$79.14	$79.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.79 / $25.72 / $77.43	Professional	TC	$20.79	$25.72	$77.43
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 $6.90 / $6.90 / $6.90	Facility	26	$6.90	$6.90	$6.90
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 $57.07 / $95.76 / $116.14	Professional		$57.07	$95.76	$116.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $24.18 / $29.33	Professional	26	$14.56	$24.18	$29.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.02 / $71.56 / $86.81	Professional	TC	$49.02	$71.56	$86.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.28 / $115.68 / $284.45	Facility		$68.28	$115.68	$284.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.55 / $28.04 / $68.95	Facility	26	$16.55	$28.04	$68.95
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $51.73 / $87.63 / $215.50	Facility	TC	$51.73	$87.63	$215.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $63.16 / $104.55	Professional		$35.63	$63.16	$104.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $15.47 / $26.11	Professional	26	$9.27	$15.47	$26.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.49 / $47.69 / $79.84	Professional	TC	$26.49	$47.69	$79.84
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $60.81 / $104.26 / $223.99	Facility		$60.81	$104.26	$223.99
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $14.74 / $25.27 / $54.30	Facility	26	$14.74	$25.27	$54.30
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $46.07 / $78.98 / $169.69	Facility	TC	$46.07	$78.98	$169.69
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $58.87 / $100.40	Professional		$49.74	$58.87	$100.40
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $14.42 / $24.59	Professional	26	$12.18	$14.42	$24.59
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 $36.67 / $76.54 / $302.58	Facility		$36.67	$76.54	$302.58
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 $201.00 / $260.75 / $356.51	Facility	TC	$201.00	$260.75	$356.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $62.52 / $208.83	Professional		$31.40	$62.52	$208.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.92 / $19.21 / $48.77	Professional	26	$9.92	$19.21	$48.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $40.98 / $176.00	Professional	TC	$22.38	$40.98	$176.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $53.57 / $95.73	Professional		$31.40	$53.57	$95.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $15.60 / $27.50	Professional	26	$9.02	$15.60	$27.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $38.64 / $71.78	Professional	TC	$22.38	$38.64	$71.78