Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.75 / $12.75 / $12.75	Facility	26	$12.75	$12.75	$12.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $47.41 / $95.67	Professional		$38.36	$47.41	$95.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $12.75 / $27.58	Professional	26	$10.57	$12.75	$27.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $33.76 / $64.50	Professional	TC	$27.55	$33.76	$64.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $137.35 / $166.58	Professional		$81.52	$137.35	$166.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.55 / $35.78 / $43.40	Professional	26	$21.55	$35.78	$43.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.55 / $101.56 / $123.18	Professional	TC	$69.55	$101.56	$123.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.83 / $42.06 / $103.44	Facility	26	$24.83	$42.06	$103.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.09 / $90.88 / $150.43	Professional		$48.09	$90.88	$150.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.96 / $23.20 / $39.15	Professional	26	$13.96	$23.20	$39.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.90 / $67.68 / $112.02	Professional	TC	$33.90	$67.68	$112.02
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.11 / $37.90 / $81.45	Facility	26	$22.11	$37.90	$81.45
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $84.70 / $144.44	Professional		$71.56	$84.70	$144.44
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.27 / $21.63 / $36.88	Professional	26	$18.27	$21.63	$36.88
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $53.29 / $63.07 / $107.57	Professional	TC	$53.29	$63.07	$107.57
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 $46.23 / $81.89 / $306.22	Professional		$46.23	$81.89	$306.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.71 / $24.78 / $95.76	Professional	26	$13.71	$24.78	$95.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.10 / $55.40 / $250.00	Professional	TC	$32.10	$55.40	$250.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $74.66 / $141.94	Professional		$45.83	$74.66	$141.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.71 / $23.31 / $41.80	Professional	26	$13.71	$23.31	$41.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.42 / $51.42 / $105.44	Professional	TC	$31.42	$51.42	$105.44