Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $8.51	Facility	26	$7.94	$7.94	$8.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $109.65	Professional		$23.99	$33.88	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.02 / $42.66	Professional	26	$7.08	$12.02	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.22 / $46.77 / $131.83	Professional	50	$16.22	$46.77	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.99 / $54.95	Professional	TC	$16.98	$23.99	$54.95
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $7.41 / $7.41	Facility	26	$6.46	$7.41	$7.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $117.49	Professional		$53.70	$79.43	$117.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $20.89 / $30.90	Professional	26	$14.13	$20.89	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $61.66 / $87.10	Professional	TC	$39.81	$61.66	$87.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $26.30 / $72.44	Facility	26	$7.08	$26.30	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $57.54 / $100.00	Professional		$30.20	$57.54	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $16.22 / $25.70	Professional	26	$9.12	$16.22	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $43.65 / $75.86	Professional	TC	$20.89	$43.65	$75.86
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $30.20 / $56.23	Facility	26	$23.44	$30.20	$56.23
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $79.43	Professional		$50.12	$50.12	$79.43
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $12.59 / $19.95	Professional	26	$12.59	$12.59	$19.95
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $37.15 / $58.88	Professional	TC	$37.15	$37.15	$58.88
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 $29.51 / $54.95 / $208.93	Professional		$29.51	$54.95	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $16.98 / $83.18	Professional	26	$8.71	$16.98	$83.18
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $131.83 / $186.21	Professional	50	$131.83	$131.83	$186.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $37.15 / $154.88	Professional	TC	$21.38	$37.15	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $97.72	Professional		$29.51	$47.86	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.45 / $26.30	Professional	26	$8.51	$14.45	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $33.88 / $74.13	Professional	TC	$21.38	$33.88	$74.13