Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $276.25 / $544.72	Facility		$74.34	$276.25	$544.72
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.19 / $10.99 / $18.57	Facility	26	$10.19	$10.99	$18.57
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $38.53 / $210.77 / $313.52	Facility	TC	$38.53	$210.77	$313.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $47.40 / $182.40	Professional		$14.31	$47.40	$182.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.67 / $11.36 / $48.45	Professional	26	$9.67	$11.36	$48.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $37.02 / $121.50	Professional	TC	$27.55	$37.02	$121.50
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 $8.92 / $8.92 / $8.92	Facility	26	$8.92	$8.92	$8.92
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $32.53 / $32.53 / $32.53	Facility	TC	$32.53	$32.53	$32.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $138.31 / $167.75	Professional		$83.27	$138.31	$167.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.63 / $30.95 / $37.54	Professional	26	$18.63	$30.95	$37.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.53 / $107.36 / $130.21	Professional	TC	$73.53	$107.36	$130.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $168.26 / $413.77	Facility		$99.32	$168.26	$413.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $36.22 / $89.07	Facility	26	$21.38	$36.22	$89.07
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $77.94 / $132.03 / $324.69	Facility	TC	$77.94	$132.03	$324.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $92.81 / $155.36	Professional		$46.60	$92.81	$155.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $19.98 / $33.44	Professional	26	$12.55	$19.98	$33.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.29 / $72.83 / $120.56	Professional	TC	$34.29	$72.83	$120.56
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $88.44 / $151.65 / $325.80	Facility		$88.44	$151.65	$325.80
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.04 / $32.65 / $70.14	Facility	26	$19.04	$32.65	$70.14
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $69.40 / $119.00 / $255.66	Facility	TC	$69.40	$119.00	$255.66
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $86.50 / $147.53	Professional		$73.08	$86.50	$147.53
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $15.73 / $18.62 / $31.76	Professional	26	$15.73	$18.62	$31.76
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $57.35 / $67.88 / $115.77	Professional	TC	$57.35	$67.88	$115.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.56 / $147.79 / $349.40	Facility		$53.56	$147.79	$349.40
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $174.51 / $300.32 / $366.96	Facility	TC	$174.51	$300.32	$366.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $107.22 / $228.72	Professional		$45.83	$107.22	$228.72
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $26.13 / $59.84	Professional	26	$13.19	$26.13	$59.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.83 / $56.97 / $233.75	Professional	TC	$33.83	$56.97	$233.75
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $75.69 / $139.72	Professional		$45.83	$75.69	$139.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.54 / $19.64 / $35.21	Professional	26	$11.54	$19.64	$35.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.57 / $56.88 / $104.51	Professional	TC	$32.57	$56.88	$104.51