Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $151.36 / $363.08	Facility		$66.07	$151.36	$363.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $6.03 / $6.03	Facility	26	$6.03	$6.03	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $46.77 / $173.78	Professional		$23.99	$46.77	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $15.49 / $69.18	Professional	26	$5.01	$15.49	$69.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $36.31 / $87.10	Professional	TC	$18.20	$36.31	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $114.82	Professional		$54.95	$85.11	$114.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.98 / $22.91	Professional	26	$10.96	$16.98	$22.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $72.44 / $91.20	Professional	TC	$43.65	$72.44	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $251.19 / $302.00	Facility		$10.47	$251.19	$302.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $47.86 / $57.54	Facility	26	$10.47	$47.86	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $72.44	Professional		$43.65	$54.95	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.47 / $13.49	Professional	26	$8.32	$10.47	$13.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $44.67 / $58.88	Professional	TC	$35.48	$44.67	$58.88
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $234.42 / $234.42	Facility		$8.32	$234.42	$234.42
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $44.67 / $44.67	Facility	26	$8.32	$44.67	$44.67
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $70.79	Professional		$43.65	$43.65	$70.79
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.32 / $23.44	Professional	26	$8.32	$8.32	$23.44
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $35.48 / $51.29	Professional	TC	$35.48	$35.48	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $64.57 / $162.18	Facility		$42.66	$64.57	$162.18
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 $19.05 / $58.88 / $263.03	Professional		$19.05	$58.88	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $20.89 / $63.10	Professional	26	$12.59	$20.89	$63.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $47.86 / $223.87	Professional	TC	$15.14	$47.86	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $61.66 / $109.65	Professional		$25.12	$61.66	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $13.18 / $21.88	Professional	26	$5.89	$13.18	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $46.77 / $87.10	Professional	TC	$19.05	$46.77	$87.10