Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.07 / $317.30 / $531.84	Facility		$109.07	$317.30	$531.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.53 / $8.53 / $114.92	Facility	26	$8.53	$8.53	$114.92
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.61 / $51.91 / $295.39	Facility	TC	$34.61	$51.91	$295.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $43.09 / $177.65	Professional		$13.18	$43.09	$177.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $12.59 / $40.00	Professional	26	$7.63	$12.59	$40.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.85 / $299.48 / $299.48	Professional	50	$17.85	$299.48	$299.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $34.61 / $101.82	Professional	TC	$25.37	$34.61	$101.82
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 $6.90 / $6.90 / $6.90	Facility	26	$6.90	$6.90	$6.90
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $28.80 / $28.80 / $28.80	Facility	TC	$28.80	$28.80	$28.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $119.93 / $145.46	Professional		$72.20	$119.93	$145.46
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 $61.04 / $95.76 / $116.14	Professional	TC	$61.04	$95.76	$116.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.53 / $144.88 / $356.30	Facility		$85.53	$144.88	$356.30
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 $68.97 / $116.84 / $287.33	Facility	TC	$68.97	$116.84	$287.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $79.92 / $132.29	Professional		$37.46	$79.92	$132.29
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 $28.87 / $64.45 / $106.69	Professional	TC	$28.87	$64.45	$106.69
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $76.16 / $130.58 / $280.55	Facility		$76.16	$130.58	$280.55
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 $61.42 / $105.31 / $226.25	Facility	TC	$61.42	$105.31	$226.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $74.48 / $127.04	Professional		$62.93	$74.48	$127.04
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 $50.75 / $60.07 / $102.45	Professional	TC	$50.75	$60.07	$102.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $111.96 / $288.63	Facility		$43.15	$111.96	$288.63
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 $181.94 / $267.97 / $377.48	Facility	TC	$181.94	$267.97	$377.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $91.87 / $247.95	Professional		$39.34	$91.87	$247.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $20.85 / $46.99	Professional	26	$10.83	$20.85	$46.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.81 / $51.54 / $209.88	Professional	TC	$29.81	$51.54	$209.88
United Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $64.58 / $121.82	Professional		$38.47	$64.58	$121.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $16.12 / $27.50	Professional	26	$9.02	$16.12	$27.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.80 / $48.78 / $92.44	Professional	TC	$28.80	$48.78	$92.44