Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.21 / $63.80 / $92.62	Facility		$19.21	$63.80	$92.62
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.32 / $11.32 / $11.32	Facility	26	$11.32	$11.32	$11.32
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $7.89 / $7.89 / $7.89	Facility	TC	$7.89	$7.89	$7.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $17.82 / $34.08	Professional		$12.80	$17.82	$34.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $23.96 / $66.50	Professional	26	$8.99	$23.96	$66.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.28 / $7.89 / $22.25	Professional	TC	$5.28	$7.89	$22.25
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 $28.79 / $47.19 / $71.45	Professional		$28.79	$47.19	$71.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.75 / $27.66 / $42.62	Professional	26	$18.75	$27.66	$42.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.54 / $21.69 / $31.66	Professional	TC	$13.54	$21.69	$31.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.21 / $143.90 / $172.40	Facility		$33.21	$143.90	$172.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $81.54 / $97.69	Facility	26	$18.82	$81.54	$97.69
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $14.39 / $62.35 / $74.70	Facility	TC	$14.39	$62.35	$74.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $33.21 / $42.06	Professional		$26.41	$33.21	$42.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.41 / $19.37 / $24.54	Professional	26	$15.41	$19.37	$24.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.00 / $13.84 / $17.53	Professional	TC	$11.00	$13.84	$17.53
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $26.15 / $135.75 / $135.75	Facility		$26.15	$135.75	$135.75
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $14.82 / $76.93 / $76.93	Facility	26	$14.82	$76.93	$76.93
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $11.33 / $58.83 / $58.83	Facility	TC	$11.33	$58.83	$58.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $26.15 / $37.40	Professional		$26.15	$26.15	$37.40
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $15.25 / $15.25 / $21.82	Professional	26	$15.25	$15.25	$21.82
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $10.90 / $10.90 / $15.59	Professional	TC	$10.90	$10.90	$15.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $34.22 / $54.61	Facility		$20.96	$34.22	$54.61
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 $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $40.14 / $130.47	Professional		$17.82	$40.14	$130.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.89 / $38.79 / $65.09	Professional	26	$22.89	$38.79	$65.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $7.29 / $17.66 / $95.76	Professional	TC	$7.29	$17.66	$95.76
United Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $24.59 / $57.81	Professional		$13.21	$24.59	$57.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.49 / $23.29 / $34.11	Professional	26	$10.49	$23.29	$34.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.32 / $10.82 / $23.69	Professional	TC	$7.32	$10.82	$23.69