Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $269.15 / $512.86	Facility		$93.33	$269.15	$512.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	TC	$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $416.87	Professional		$64.57	$102.33	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $72.44 / $354.81	Professional	26	$26.92	$72.44	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $72.44 / $218.78	Professional	TC	$43.65	$72.44	$218.78
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 $186.21 / $288.40 / $389.05	Professional		$186.21	$288.40	$389.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $85.11 / $117.49	Professional	26	$54.95	$85.11	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $208.93 / $269.15	Professional	TC	$128.82	$208.93	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $812.83 / $977.24	Facility		$56.23	$812.83	$977.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $251.19 / $302.00	Facility	26	$56.23	$251.19	$302.00
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $56.23 / $549.54 / $660.69	Facility	TC	$56.23	$549.54	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $239.88	Professional		$151.36	$190.55	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $56.23 / $70.79	Professional	26	$44.67	$56.23	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $134.90 / $169.82	Professional	TC	$107.15	$134.90	$169.82
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $758.58 / $758.58	Facility		$43.65	$758.58	$758.58
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $239.88 / $239.88	Facility	26	$43.65	$239.88	$239.88
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $43.65 / $524.81 / $524.81	Facility	TC	$43.65	$524.81	$524.81
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $218.78	Professional		$147.91	$147.91	$218.78
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $43.65 / $97.72	Professional	26	$43.65	$43.65	$97.72
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $104.71 / $154.88	Professional	TC	$104.71	$104.71	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $181.97 / $275.42	Facility		$102.33	$181.97	$275.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	26	$169.82	$169.82	$169.82
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	TC	$354.81	$354.81	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $398.11	Professional		$97.72	$199.53	$398.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $112.20 / $169.82	Professional	26	$67.61	$112.20	$169.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $194.98 / $323.59	Professional	TC	$56.23	$194.98	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $208.93 / $371.54	Professional		$87.10	$208.93	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $66.07 / $112.20	Professional	26	$29.51	$66.07	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $138.04 / $251.19	Professional	TC	$57.54	$138.04	$251.19