Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.11 / $637.14 / $1,004.79	Facility		$134.11	$637.14	$1,004.79
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.58 / $22.58 / $38.15	Facility	26	$22.58	$22.58	$38.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $111.54 / $111.54 / $352.17	Facility	TC	$111.54	$111.54	$352.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $128.49 / $559.67	Professional		$32.07	$128.49	$559.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.02 / $29.47 / $101.00	Professional	26	$20.02	$29.47	$101.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.14 / $111.54 / $270.89	Professional	TC	$94.14	$111.54	$270.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.29 / $341.57 / $772.72	Facility		$142.29	$341.57	$772.72
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.27 / $17.27 / $17.27	Facility	26	$17.27	$17.27	$17.27
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $85.51 / $85.51 / $85.51	Facility	TC	$85.51	$85.51	$85.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.67 / $315.33 / $418.80	Professional		$183.67	$315.33	$418.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $54.86 / $72.73	Professional	26	$32.15	$54.86	$72.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.22 / $280.10 / $355.80	Professional	TC	$171.22	$280.10	$355.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.27 / $431.19 / $1,037.29	Facility		$276.27	$431.19	$1,037.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.92 / $71.67 / $172.40	Facility	26	$45.92	$71.67	$172.40
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $230.36 / $359.52 / $864.89	Facility	TC	$230.36	$359.52	$864.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $330.77 / $515.07	Professional		$159.94	$330.77	$515.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.44 / $55.44 / $86.32	Professional	26	$25.44	$55.44	$86.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.25 / $275.33 / $428.74	Professional	TC	$136.25	$275.33	$428.74
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $239.42 / $393.49 / $816.76	Facility		$239.42	$393.49	$816.76
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $39.79 / $63.19 / $135.75	Facility	26	$39.79	$63.19	$135.75
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $199.62 / $328.09 / $681.01	Facility	TC	$199.62	$328.09	$681.01
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $202.77 / $324.19 / $465.40	Professional		$202.77	$324.19	$465.40
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $53.95 / $78.00	Professional	26	$33.97	$53.95	$78.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $168.79 / $270.31 / $387.40	Professional	TC	$168.79	$270.31	$387.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.95 / $342.45 / $817.80	Facility		$167.95	$342.45	$817.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $107.00 / $107.00 / $107.00	Facility	26	$107.00	$107.00	$107.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $382.01 / $557.74 / $710.62	Facility	TC	$382.01	$557.74	$710.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $303.86 / $970.74	Professional		$144.84	$303.86	$970.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.86 / $55.18 / $163.19	Professional	26	$29.86	$55.18	$163.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $111.55 / $211.95 / $927.48	Professional	TC	$111.55	$211.95	$927.48
United Facility/Professional Professional Modifier Low / Median / High Price $135.03 / $243.33 / $422.95	Professional		$135.03	$243.33	$422.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.02 / $48.87 / $100.00	Professional	26	$25.02	$48.87	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.27 / $198.76 / $407.70	Professional	TC	$91.27	$198.76	$407.70