Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.89 / $8.89 / $8.89	Facility	26	$8.89	$8.89	$8.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $31.64 / $65.15	Professional		$25.85	$31.64	$65.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.55 / $18.52	Professional	26	$7.33	$8.55	$18.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.23 / $16.23 / $59.24	Professional	50	$16.23	$16.23	$59.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $22.55 / $35.59	Professional	TC	$18.53	$22.55	$35.59
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.20 / $7.20 / $7.20	Facility	26	$7.20	$7.20	$7.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $94.78 / $114.96	Professional		$57.65	$94.78	$114.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $24.18 / $29.33	Professional	26	$15.14	$24.18	$29.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.35 / $70.61 / $85.64	Professional	TC	$48.35	$70.61	$85.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.55 / $28.04 / $68.95	Facility	26	$16.55	$28.04	$68.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $63.81 / $105.62	Professional		$31.04	$63.81	$105.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $16.11 / $27.19	Professional	26	$9.25	$16.11	$27.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.50 / $47.69 / $78.95	Professional	TC	$21.50	$47.69	$78.95
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $14.74 / $25.27 / $54.30	Facility	26	$14.74	$25.27	$54.30
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $59.47 / $101.43	Professional		$50.24	$59.47	$101.43
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.69 / $15.02 / $25.61	Professional	26	$12.69	$15.02	$25.61
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $37.56 / $44.45 / $75.81	Professional	TC	$37.56	$44.45	$75.81
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 Professional Modifier Low / Median / High Price $30.65 / $55.12 / $208.77	Professional		$30.65	$55.12	$208.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $16.30 / $82.56	Professional	26	$8.66	$16.30	$82.56
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $130.69 / $147.00 / $185.32	Professional	50	$130.69	$147.00	$185.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.22 / $38.32 / $153.47	Professional	TC	$22.22	$38.32	$153.47
United Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $50.15 / $94.03	Professional		$30.65	$50.15	$94.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $15.98 / $87.90	Professional	26	$8.66	$15.98	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.40 / $34.84 / $77.06	Professional	TC	$21.40	$34.84	$77.06