Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $281.84 / $537.03	Facility		$134.90	$281.84	$537.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $8.51 / $14.45	Facility	26	$7.94	$8.51	$14.45
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.20 / $51.29 / $549.54	Facility	TC	$30.20	$51.29	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $41.69 / $147.91	Professional		$8.91	$41.69	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $17.78 / $48.98	Professional	26	$7.94	$17.78	$48.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $18.20 / $85.11 / $194.98	Professional	50	$18.20	$85.11	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $44.67 / $144.54	Professional	TC	$23.99	$44.67	$144.54
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 $6.46 / $7.41 / $7.41	Facility	26	$6.46	$7.41	$7.41
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $22.91 / $26.30 / $26.30	Facility	TC	$22.91	$26.30	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $131.83	Professional		$61.66	$89.13	$131.83
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 $47.86 / $72.44 / $104.71	Professional	TC	$47.86	$72.44	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $141.25 / $338.84	Facility		$87.10	$141.25	$338.84
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 $22.39 / $95.50 / $263.03	Facility	TC	$22.39	$95.50	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $64.57 / $112.20	Professional		$33.88	$64.57	$112.20
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 $24.55 / $51.29 / $91.20	Professional	TC	$24.55	$51.29	$91.20
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $134.90 / $263.03	Facility		$109.65	$134.90	$263.03
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 $85.11 / $104.71 / $208.93	Facility	TC	$85.11	$104.71	$208.93
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $89.13	Professional		$56.23	$56.23	$89.13
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 $44.67 / $44.67 / $69.18	Professional	TC	$44.67	$44.67	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $134.90 / $295.12	Facility		$46.77	$134.90	$295.12
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 $190.55 / $251.19 / $363.08	Facility	TC	$190.55	$251.19	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $104.71 / $177.83	Professional		$35.48	$104.71	$177.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $21.88 / $48.98	Professional	26	$10.72	$21.88	$48.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $42.66 / $181.97	Professional	TC	$24.55	$42.66	$181.97
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 $33.88 / $52.48 / $112.20	Professional		$33.88	$52.48	$112.20
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 $24.55 / $39.81 / $87.10	Professional	TC	$24.55	$39.81	$87.10