Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.86 / $272.24 / $988.95	Facility		$95.86	$272.24	$988.95
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.14 / $32.14 / $32.14	Facility	26	$32.14	$32.14	$32.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $63.72 / $63.72 / $63.72	Facility	TC	$63.72	$63.72	$63.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $85.02 / $234.21	Professional		$62.92	$85.02	$234.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.61 / $59.59 / $177.65	Professional	26	$26.61	$59.59	$177.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.27 / $58.11 / $176.22	Professional	TC	$35.27	$58.11	$176.22
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 $170.38 / $251.33 / $387.23	Professional		$170.38	$251.33	$387.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.58 / $79.81 / $118.31	Professional	26	$52.58	$79.81	$118.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $115.92 / $181.59 / $264.24	Professional	TC	$115.92	$181.59	$264.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.22 / $772.24 / $925.23	Facility		$178.22	$772.24	$925.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.91 / $242.22 / $290.20	Facility	26	$55.91	$242.22	$290.20
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $122.31 / $530.01 / $635.02	Facility	TC	$122.31	$530.01	$635.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.53 / $189.29 / $239.74	Professional		$150.53	$189.29	$239.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.46 / $55.90 / $70.80	Professional	26	$44.46	$55.90	$70.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.08 / $133.38 / $168.94	Professional	TC	$106.08	$133.38	$168.94
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $140.33 / $728.53 / $728.53	Facility		$140.33	$728.53	$728.53
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $44.02 / $228.51 / $228.51	Facility	26	$44.02	$228.51	$228.51
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $96.31 / $500.01 / $500.01	Facility	TC	$96.31	$500.01	$500.01
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $149.04 / $149.04 / $213.24	Professional		$149.04	$149.04	$213.24
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $44.02 / $44.02 / $62.97	Professional	26	$44.02	$44.02	$62.97
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $105.03 / $105.03 / $150.26	Professional	TC	$105.03	$105.03	$150.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.81 / $179.33 / $275.54	Facility		$102.81	$179.33	$275.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $170.73 / $170.73 / $170.73	Facility	26	$170.73	$170.73	$170.73
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $357.27 / $357.27 / $357.27	Facility	TC	$357.27	$357.27	$357.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $198.63 / $398.64	Professional		$107.19	$198.63	$398.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.65 / $112.90 / $169.26	Professional	26	$66.65	$112.90	$169.26
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $57.57 / $184.85 / $424.71	Professional	TC	$57.57	$184.85	$424.71
United Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $210.32 / $363.61	Professional		$87.19	$210.32	$363.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.09 / $41.12 / $90.92	Professional	26	$22.09	$41.12	$90.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.72 / $129.53 / $224.34	Professional	TC	$56.72	$129.53	$224.34