Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.23 / $183.61 / $436.05	Facility		$100.23	$183.61	$436.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.29 / $30.29 / $30.29	Facility	TC	$30.29	$30.29	$30.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $35.63 / $113.15	Professional		$27.44	$35.63	$113.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $13.28 / $72.20	Professional	26	$8.23	$13.28	$72.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.56 / $36.61 / $115.70	Professional	TC	$21.56	$36.61	$115.70
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 $64.79 / $101.95 / $157.08	Professional		$64.79	$101.95	$157.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.18 / $26.08 / $40.18	Professional	26	$17.18	$26.08	$40.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.95 / $76.83 / $112.45	Professional	TC	$51.95	$76.83	$112.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $309.37 / $370.67	Facility		$71.40	$309.37	$370.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.72 / $76.73 / $91.95	Facility	26	$17.72	$76.73	$91.95
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $53.68 / $232.63 / $278.72	Facility	TC	$53.68	$232.63	$278.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $70.84 / $89.73	Professional		$56.34	$70.84	$89.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $17.71 / $22.43	Professional	26	$14.09	$17.71	$22.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.26 / $53.13 / $67.30	Professional	TC	$42.26	$53.13	$67.30
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $56.22 / $291.86 / $291.86	Facility		$56.22	$291.86	$291.86
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $13.95 / $72.40 / $72.40	Facility	26	$13.95	$72.40	$72.40
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $42.27 / $219.46 / $219.46	Facility	TC	$42.27	$219.46	$219.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $55.78 / $79.81	Professional		$55.78	$55.78	$79.81
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.95 / $13.95 / $19.95	Professional	26	$13.95	$13.95	$19.95
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $41.84 / $41.84 / $59.86	Professional	TC	$41.84	$41.84	$59.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $68.70 / $157.49	Facility		$50.74	$68.70	$157.49
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 Facility Modifier TC Low / Median / High Price $164.16 / $164.16 / $164.16	Facility	TC	$164.16	$164.16	$164.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $82.62 / $271.04	Professional		$38.54	$82.62	$271.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.67 / $35.45 / $115.52	Professional	26	$21.67	$35.45	$115.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.42 / $62.87 / $268.14	Professional	TC	$23.42	$62.87	$268.14
United Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $75.04 / $145.18	Professional		$33.35	$75.04	$145.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $21.65 / $31.28	Professional	26	$9.61	$21.65	$31.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.73 / $53.39 / $87.35	Professional	TC	$23.73	$53.39	$87.35