Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $64.57 / $93.33	Facility		$21.38	$64.57	$93.33
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $10.96 / $10.96	Facility	26	$10.96	$10.96	$10.96
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $7.08 / $7.08 / $7.08	Facility	TC	$7.08	$7.08	$7.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $51.29	Professional		$13.49	$19.05	$51.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $25.70 / $79.43	Professional	26	$10.00	$25.70	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.25 / $7.08 / $47.86	Professional	TC	$5.25	$7.08	$47.86
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 $33.11 / $51.29 / $70.79	Professional		$33.11	$51.29	$70.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.20 / $41.69	Professional	26	$19.50	$30.20	$41.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $22.39 / $28.84	Professional	TC	$13.80	$22.39	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $151.36 / $181.97	Facility		$19.50	$151.36	$181.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $85.11 / $102.33	Facility	26	$19.50	$85.11	$102.33
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $19.50 / $64.57 / $77.62	Facility	TC	$19.50	$64.57	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $42.66	Professional		$26.30	$33.11	$42.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $19.50 / $24.55	Professional	26	$15.49	$19.50	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $13.80 / $17.78	Professional	TC	$10.96	$13.80	$17.78
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $141.25 / $141.25	Facility		$15.14	$141.25	$141.25
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $81.28 / $81.28	Facility	26	$15.14	$81.28	$81.28
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $15.14 / $61.66 / $61.66	Facility	TC	$15.14	$61.66	$61.66
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $52.48	Professional		$26.30	$26.30	$52.48
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $15.14 / $34.67	Professional	26	$15.14	$15.14	$34.67
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $10.96 / $17.78	Professional	TC	$10.96	$10.96	$17.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.88 / $54.95	Facility		$20.89	$33.88	$54.95
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 $13.18 / $38.02 / $131.83	Professional		$13.18	$38.02	$131.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $38.02 / $64.57	Professional	26	$21.88	$38.02	$64.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $5.37 / $17.78 / $95.50	Professional	TC	$5.37	$17.78	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $39.81 / $67.61	Professional		$17.78	$39.81	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $23.44 / $39.81	Professional	26	$10.47	$23.44	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.41 / $16.60 / $28.18	Professional	TC	$7.41	$16.60	$28.18