Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.04 / $12.04 / $12.04	Facility	26	$12.04	$12.04	$12.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $42.75 / $78.05	Professional		$35.39	$42.75	$78.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.04 / $26.04	Professional	26	$10.00	$12.04	$26.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $30.64 / $49.19	Professional	TC	$25.05	$30.64	$49.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.07 / $10.07 / $10.07	Facility	26	$10.07	$10.07	$10.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $126.71 / $153.68	Professional		$76.29	$126.71	$153.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.96 / $33.85 / $41.06	Professional	26	$20.96	$33.85	$41.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.59 / $92.86 / $112.62	Professional	TC	$63.59	$92.86	$112.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.45 / $39.72 / $97.69	Facility	26	$23.45	$39.72	$97.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $84.43 / $139.76	Professional		$42.80	$84.43	$139.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.33 / $22.56 / $38.07	Professional	26	$13.33	$22.56	$38.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.49 / $61.87 / $102.42	Professional	TC	$29.49	$61.87	$102.42
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $20.88 / $35.81 / $76.93	Facility	26	$20.88	$35.81	$76.93
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $78.69 / $134.21	Professional		$66.48	$78.69	$134.21
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.76 / $21.02 / $35.86	Professional	26	$17.76	$21.02	$35.86
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $48.72 / $57.67 / $98.35	Professional	TC	$48.72	$57.67	$98.35
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 $42.23 / $72.37 / $282.36	Professional		$42.23	$72.37	$282.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $23.57 / $90.81	Professional	26	$12.99	$23.57	$90.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $50.02 / $211.00	Professional	TC	$28.46	$50.02	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $69.09 / $132.99	Professional		$40.79	$69.09	$132.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $25.46 / $87.90	Professional	26	$12.99	$25.46	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $46.17 / $96.35	Professional	TC	$28.46	$46.17	$96.35