Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.94 / $9.94 / $9.94	Facility	26	$9.94	$9.94	$9.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $33.08 / $50.23	Professional		$25.05	$33.08	$50.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.77 / $9.94 / $15.77	Professional	26	$7.77	$9.94	$15.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $22.99 / $33.60	Professional	TC	$17.67	$22.99	$33.60
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.06 / $8.06 / $8.06	Facility	26	$8.06	$8.06	$8.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.90 / $92.86 / $112.62	Professional		$55.90	$92.86	$112.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $27.08 / $32.85	Professional	26	$16.89	$27.08	$32.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.22 / $65.77 / $79.77	Professional	TC	$44.22	$65.77	$79.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $31.55 / $77.58	Facility	26	$18.62	$31.55	$77.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $61.87 / $102.42	Professional		$35.00	$61.87	$102.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.42 / $18.05 / $30.46	Professional	26	$10.42	$18.05	$30.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.76 / $43.83 / $73.05	Professional	TC	$23.76	$43.83	$73.05
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $28.43 / $61.09	Facility	26	$16.57	$28.43	$61.09
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $57.67 / $98.35	Professional		$48.72	$57.67	$98.35
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $14.21 / $16.82 / $28.69	Professional	26	$14.21	$16.82	$28.69
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $34.51 / $40.85 / $69.67	Professional	TC	$34.51	$40.85	$69.67
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 $31.76 / $55.99 / $206.60	Professional		$31.76	$55.99	$206.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $18.95 / $78.44	Professional	26	$10.47	$18.95	$78.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.29 / $36.19 / $193.00	Professional	TC	$21.29	$36.19	$193.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $50.50 / $96.83	Professional		$30.17	$50.50	$96.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.26 / $18.00 / $31.92	Professional	26	$10.26	$18.00	$31.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.10 / $35.01 / $65.92	Professional	TC	$21.10	$35.01	$65.92