Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $229.09 / $416.87	Facility		$89.13	$229.09	$416.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $15.14	Facility	26	$7.94	$7.94	$15.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.88 / $38.02 / $275.42	Facility	TC	$21.88	$38.02	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $128.82	Professional		$25.12	$43.65	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.18 / $43.65	Professional	26	$7.94	$13.18	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $27.54 / $60.26	Professional	TC	$16.98	$27.54	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $218.78 / $616.60	Facility		$125.89	$218.78	$616.60
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 $16.60 / $19.05 / $19.05	Facility	TC	$16.60	$19.05	$19.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $107.15	Professional		$51.29	$74.13	$107.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $21.38 / $30.90	Professional	26	$15.14	$21.38	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $54.95 / $77.62	Professional	TC	$38.90	$54.95	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $112.20 / $275.42	Facility		$46.77	$112.20	$275.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $27.54 / $75.86	Facility	26	$7.08	$27.54	$75.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.60 / $72.44 / $199.53	Facility	TC	$16.60	$72.44	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $57.54 / $93.33	Professional		$30.20	$57.54	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.22 / $25.70	Professional	26	$10.00	$16.22	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $41.69 / $66.07	Professional	TC	$20.42	$41.69	$66.07
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $107.15 / $213.80	Facility		$89.13	$107.15	$213.80
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $30.20 / $58.88	Facility	26	$23.99	$30.20	$58.88
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $64.57 / $77.62 / $154.88	Facility	TC	$64.57	$77.62	$154.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $75.86	Professional		$45.71	$45.71	$75.86
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $12.59 / $20.89	Professional	26	$12.59	$12.59	$20.89
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $33.11 / $54.95	Professional	TC	$33.11	$33.11	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $138.04 / $281.84	Facility		$40.74	$138.04	$281.84
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $147.91 / $223.87 / $288.40	Facility	TC	$147.91	$223.87	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $77.62 / $181.97	Professional		$29.51	$77.62	$181.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $23.99 / $48.98	Professional	26	$12.88	$23.99	$48.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $33.88 / $138.04	Professional	TC	$18.62	$33.88	$138.04
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 $28.18 / $46.77 / $91.20	Professional		$28.18	$46.77	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $15.49 / $26.92	Professional	26	$9.12	$15.49	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $31.62 / $64.57	Professional	TC	$19.05	$31.62	$64.57