Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.29 / $6.79 / $11.54	Facility	26	$6.29	$6.79	$11.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.19 / $33.19 / $276.25	Facility	TC	$33.19	$33.19	$276.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $41.09 / $162.40	Professional		$23.14	$41.09	$162.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.83 / $10.27 / $39.68	Professional	26	$5.83	$10.27	$39.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.86 / $17.94 / $28.28	Professional	52	$13.86	$17.94	$28.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $32.61 / $89.00	Professional	TC	$22.57	$32.61	$89.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $5.46 / $5.46 / $5.46	Facility	26	$5.46	$5.46	$5.46
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $27.63 / $27.63 / $27.63	Facility	TC	$27.63	$27.63	$27.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $111.23 / $134.91	Professional		$66.97	$111.23	$134.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.65 / $19.34 / $23.46	Professional	26	$11.65	$19.34	$23.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.13 / $91.88 / $111.44	Professional	TC	$62.13	$91.88	$111.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $22.20 / $54.59	Facility	26	$13.10	$22.20	$54.59
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $66.20 / $112.17 / $275.83	Facility	TC	$66.20	$112.17	$275.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.43 / $74.12 / $122.69	Professional		$33.43	$74.12	$122.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $12.25 / $20.67	Professional	26	$7.28	$12.25	$20.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.04 / $61.87 / $102.42	Professional	TC	$26.04	$61.87	$102.42
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $11.67 / $20.01 / $42.99	Facility	26	$11.67	$20.01	$42.99
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $58.96 / $101.10 / $217.20	Facility	TC	$58.96	$101.10	$217.20
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $69.08 / $117.82	Professional		$58.36	$69.08	$117.82
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $11.41 / $19.47	Professional	26	$9.64	$11.41	$19.47
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $48.72 / $57.67 / $98.35	Professional	TC	$48.72	$57.67	$98.35
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 $170.27 / $221.76 / $306.52	Facility	TC	$170.27	$221.76	$306.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $81.84 / $182.62	Professional		$35.08	$81.84	$182.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $16.57 / $36.92	Professional	26	$8.23	$16.57	$36.92
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $17.46 / $17.46 / $17.46	Professional	50	$17.46	$17.46	$17.46
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $91.80 / $91.80 / $91.80	Professional	52	$91.80	$91.80	$91.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.43 / $47.33 / $199.06	Professional	TC	$27.43	$47.33	$199.06
United Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $57.38 / $111.75	Professional		$34.13	$57.38	$111.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $11.95 / $22.01	Professional	26	$7.22	$11.95	$22.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.40 / $45.90 / $89.39	Professional	TC	$27.40	$45.90	$89.39