Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $188.22 / $626.62	Facility		$30.71	$188.22	$626.62
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.83 / $7.83 / $11.74	Facility	26	$7.83	$7.83	$11.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.88 / $22.88 / $300.07	Facility	TC	$22.88	$22.88	$300.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $30.71 / $139.26	Professional		$17.80	$30.71	$139.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $10.47 / $37.28	Professional	26	$6.90	$10.47	$37.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $40.00 / $40.00 / $40.00	Professional	50	$40.00	$40.00	$40.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.45 / $22.88 / $62.25	Professional	TC	$17.45	$22.88	$62.25
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 $6.33 / $6.33 / $6.33	Facility	26	$6.33	$6.33	$6.33
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $18.71 / $18.71 / $18.71	Facility	TC	$18.71	$18.71	$18.71
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 $13.40 / $21.84 / $26.98	Professional	26	$13.40	$21.84	$26.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.08 / $62.87 / $76.25	Professional	TC	$40.08	$62.87	$76.25
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 $15.17 / $25.71 / $63.21	Facility	26	$15.17	$25.71	$63.21
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $45.52 / $77.12 / $189.64	Facility	TC	$45.52	$77.12	$189.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $56.72 / $93.88	Professional		$30.53	$56.72	$93.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $14.18 / $23.93	Professional	26	$8.72	$14.18	$23.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.45 / $42.54 / $70.41	Professional	TC	$21.45	$42.54	$70.41
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 $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 $40.54 / $69.50 / $149.33	Facility	TC	$40.54	$69.50	$149.33
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 $11.17 / $13.22 / $22.54	Professional	26	$11.17	$13.22	$22.54
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $33.50 / $39.65 / $67.62	Professional	TC	$33.50	$39.65	$67.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $73.56 / $216.67	Facility		$33.15	$73.56	$216.67
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 $160.60 / $220.99 / $333.05	Facility	TC	$160.60	$220.99	$333.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $53.24 / $187.12	Professional		$29.23	$53.24	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $17.77 / $64.39	Professional	26	$9.35	$17.77	$64.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.51 / $34.72 / $161.00	Professional	TC	$20.51	$34.72	$161.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $53.24 / $103.80	Professional		$28.64	$53.24	$103.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.49 / $14.72 / $26.40	Professional	26	$8.49	$14.72	$26.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.38 / $31.71 / $62.24	Professional	TC	$19.38	$31.71	$62.24