Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.47 / $120.70 / $374.36	Facility		$43.47	$120.70	$374.36
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.99 / $10.99 / $10.99	Facility	26	$10.99	$10.99	$10.99
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.47 / $32.47 / $396.15	Facility	TC	$32.47	$32.47	$396.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $42.13 / $82.73	Professional		$33.93	$42.13	$82.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $10.99 / $31.11	Professional	26	$9.19	$10.99	$31.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.58 / $29.67 / $47.04	Professional	TC	$24.58	$29.67	$47.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $230.55 / $444.65	Facility		$137.93	$230.55	$444.65
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 $26.77 / $26.77 / $26.77	Facility	TC	$26.77	$26.77	$26.77
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 $18.63 / $30.95 / $37.54	Professional	26	$18.63	$30.95	$37.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.56 / $88.99 / $107.93	Professional	TC	$58.56	$88.99	$107.93
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 $21.38 / $36.22 / $89.07	Facility	26	$21.38	$36.22	$89.07
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $64.14 / $108.66 / $267.22	Facility	TC	$64.14	$108.66	$267.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $79.92 / $133.78	Professional		$44.38	$79.92	$133.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $19.98 / $33.44	Professional	26	$12.96	$19.98	$33.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.20 / $59.94 / $100.33	Professional	TC	$31.20	$59.94	$100.33
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 $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 $57.12 / $97.94 / $210.41	Facility	TC	$57.12	$97.94	$210.41
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 $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 $47.20 / $55.87 / $95.28	Professional	TC	$47.20	$55.87	$95.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $80.94 / $173.71	Facility		$38.47	$80.94	$173.71
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $350.59 / $350.59 / $350.59	Facility	TC	$350.59	$350.59	$350.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $72.61 / $264.88	Professional		$40.42	$72.61	$264.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $20.99 / $59.40	Professional	26	$11.55	$20.99	$59.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.87 / $51.42 / $196.89	Professional	TC	$28.87	$51.42	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $67.56 / $123.23	Professional		$40.42	$67.56	$123.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.30 / $19.82 / $35.21	Professional	26	$11.30	$19.82	$35.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.87 / $48.57 / $89.40	Professional	TC	$28.87	$48.57	$89.40