Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.41 / $210.00 / $441.12	Facility		$31.41	$210.00	$441.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.89 / $8.89 / $15.11	Facility	26	$8.89	$8.89	$15.11
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.52 / $22.52 / $251.18	Facility	TC	$22.52	$22.52	$251.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $31.41 / $138.69	Professional		$24.69	$31.41	$138.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $10.38 / $49.84	Professional	26	$7.82	$10.38	$49.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $21.47 / $55.18	Professional	TC	$16.60	$21.47	$55.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.59 / $185.26 / $367.48	Facility		$117.59	$185.26	$367.48
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.20 / $7.20 / $7.20	Facility	26	$7.20	$7.20	$7.20
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $18.42 / $18.42 / $18.42	Facility	TC	$18.42	$18.42	$18.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $88.02 / $106.75	Professional		$52.42	$88.02	$106.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $25.15 / $30.50	Professional	26	$15.14	$25.15	$30.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.85 / $62.87 / $76.25	Professional	TC	$43.85	$62.87	$76.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.77 / $106.33 / $261.48	Facility		$62.77	$106.33	$261.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.23 / $29.21 / $71.83	Facility	26	$17.23	$29.21	$71.83
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $45.52 / $77.12 / $189.64	Facility	TC	$45.52	$77.12	$189.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $58.01 / $97.10	Professional		$30.55	$58.01	$97.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $16.11 / $26.97	Professional	26	$10.18	$16.11	$26.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.75 / $41.89 / $69.34	Professional	TC	$20.75	$41.89	$69.34
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $55.89 / $95.83 / $205.89	Facility		$55.89	$95.83	$205.89
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $15.36 / $26.33 / $56.56	Facility	26	$15.36	$26.33	$56.56
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $40.54 / $69.50 / $149.33	Facility	TC	$40.54	$69.50	$149.33
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $54.06 / $92.21	Professional		$45.68	$54.06	$92.21
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.69 / $15.02 / $25.61	Professional	26	$12.69	$15.02	$25.61
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $32.99 / $39.04 / $66.59	Professional	TC	$32.99	$39.04	$66.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.92 / $95.65 / $267.00	Facility		$32.92	$95.65	$267.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $148.74 / $227.15 / $289.11	Facility	TC	$148.74	$227.15	$289.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $59.82 / $170.19	Professional		$29.59	$59.82	$170.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $23.03 / $48.85	Professional	26	$11.26	$23.03	$48.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $34.06 / $138.27	Professional	TC	$20.20	$34.06	$138.27
United Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $47.41 / $90.22	Professional		$28.15	$47.41	$90.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $18.22 / $87.90	Professional	26	$9.38	$18.22	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.20 / $32.13 / $61.62	Professional	TC	$19.20	$32.13	$61.62