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 $29.87 / $36.63 / $61.59	Professional		$29.87	$36.63	$61.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $8.89 / $18.71	Professional	26	$7.40	$8.89	$18.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $27.35 / $43.21	Professional	TC	$21.94	$27.35	$43.21
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 $67.55 / $113.16 / $137.25	Professional		$67.55	$113.16	$137.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $25.15 / $30.50	Professional	26	$15.14	$25.15	$30.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.52 / $88.02 / $106.75	Professional	TC	$58.52	$88.02	$106.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.23 / $29.21 / $71.83	Facility	26	$17.23	$29.21	$71.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $74.76 / $123.76	Professional		$35.33	$74.76	$123.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $16.11 / $27.19	Professional	26	$9.68	$16.11	$27.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.82 / $58.65 / $97.08	Professional	TC	$25.82	$58.65	$97.08
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $15.36 / $26.33 / $56.56	Facility	26	$15.36	$26.33	$56.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $69.68 / $118.84	Professional		$58.87	$69.68	$118.84
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 $46.18 / $54.66 / $93.23	Professional	TC	$46.18	$54.66	$93.23
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 $36.65 / $62.23 / $293.00	Professional		$36.65	$62.23	$293.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $16.73 / $55.28	Professional	26	$9.38	$16.73	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.61 / $45.32 / $283.00	Professional	TC	$26.61	$45.32	$283.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $56.64 / $113.33	Professional		$35.31	$56.64	$113.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $15.95 / $28.60	Professional	26	$9.02	$15.95	$28.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.05 / $42.42 / $84.73	Professional	TC	$26.05	$42.42	$84.73