Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $131.97 / $308.32	Facility		$31.29	$131.97	$308.32
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.19 / $6.19 / $6.19	Facility	26	$6.19	$6.19	$6.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $31.29 / $60.27	Professional		$21.72	$31.29	$60.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.93 / $16.19 / $71.25	Professional	26	$4.93	$16.19	$71.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $25.10 / $86.33	Professional	TC	$16.80	$25.10	$86.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.68 / $92.77 / $107.78	Facility		$92.68	$92.77	$107.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $79.03 / $121.77	Professional		$53.58	$79.03	$121.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.41 / $15.81 / $24.35	Professional	26	$10.41	$15.81	$24.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.74 / $69.98 / $90.70	Professional	TC	$43.74	$69.98	$90.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.35 / $239.83 / $287.33	Facility		$55.35	$239.83	$287.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.52 / $45.57 / $54.59	Facility	26	$10.52	$45.57	$54.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $55.35 / $70.09	Professional		$44.02	$55.35	$70.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $10.52 / $13.32	Professional	26	$8.36	$10.52	$13.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.65 / $44.83 / $56.78	Professional	TC	$35.65	$44.83	$56.78
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $226.25 / $226.25	Facility		$43.58	$226.25	$226.25
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $8.27 / $42.99 / $42.99	Facility	26	$8.27	$42.99	$42.99
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $43.58 / $62.35	Professional		$43.58	$43.58	$62.35
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $8.27 / $11.85	Professional	26	$8.27	$8.27	$11.85
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $35.29 / $35.29 / $50.50	Professional	TC	$35.29	$35.29	$50.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $65.16 / $162.36	Facility		$42.97	$65.16	$162.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $59.28 / $263.07	Professional		$19.76	$59.28	$263.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.85 / $21.16 / $62.98	Professional	26	$12.85	$21.16	$62.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $47.64 / $226.21	Professional	TC	$18.82	$47.64	$226.21
United Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $56.09 / $91.06	Professional		$24.72	$56.09	$91.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $14.06 / $21.83	Professional	26	$5.90	$14.06	$21.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $42.31 / $70.12	Professional	TC	$18.82	$42.31	$70.12