Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.81 / $126.05 / $228.00	Facility		$63.81	$126.05	$228.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.41 / $25.41 / $25.41	Facility	26	$25.41	$25.41	$25.41
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $38.40 / $38.40 / $38.40	Facility	TC	$38.40	$38.40	$38.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $59.35 / $98.53	Professional		$48.32	$59.35	$98.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.23 / $25.95 / $190.00	Professional	26	$5.23	$25.95	$190.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.66 / $38.14 / $47.77	Professional	TC	$27.66	$38.14	$47.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $134.50 / $156.27	Facility		$134.38	$134.50	$156.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $161.10 / $238.97	Professional		$96.91	$161.10	$238.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.65 / $63.22 / $97.42	Professional	26	$41.65	$63.22	$97.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.55 / $103.44 / $150.99	Professional	TC	$64.55	$103.44	$150.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.05 / $494.04 / $591.91	Facility		$108.05	$494.04	$591.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.96 / $191.86 / $229.87	Facility	26	$41.96	$191.86	$229.87
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $66.09 / $302.18 / $362.05	Facility	TC	$66.09	$302.18	$362.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.51 / $107.52 / $149.69	Professional		$85.51	$107.52	$149.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $41.96 / $58.42	Professional	26	$33.36	$41.96	$58.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.14 / $65.56 / $91.28	Professional	TC	$52.14	$65.56	$91.28
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $466.08 / $466.08	Facility		$85.08	$466.08	$466.08
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $33.04 / $181.00 / $181.00	Facility	26	$33.04	$181.00	$181.00
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $52.04 / $285.08 / $285.08	Facility	TC	$52.04	$285.08	$285.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $84.67 / $124.33	Professional		$84.67	$84.67	$124.33
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $33.04 / $33.04 / $48.52	Professional	26	$33.04	$33.04	$48.52
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $51.63 / $51.63 / $75.81	Professional	TC	$51.63	$51.63	$75.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.54 / $144.41 / $205.71	Facility		$107.54	$144.41	$205.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $234.18 / $234.18 / $234.18	Facility	26	$234.18	$234.18	$234.18
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $186.22 / $186.22 / $186.22	Facility	TC	$186.22	$186.22	$186.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $136.40 / $641.00	Professional		$55.36	$136.40	$641.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.06 / $86.26 / $191.58	Professional	26	$47.06	$86.26	$191.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.70 / $78.55 / $312.17	Professional	TC	$31.70	$78.55	$312.17
United Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $124.56 / $180.10	Professional		$54.86	$124.56	$180.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.18 / $52.15 / $75.83	Professional	26	$23.18	$52.15	$75.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $71.45 / $98.06	Professional	TC	$23.82	$71.45	$98.06