Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $141.25	Professional		$38.02	$48.98	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.60 / $39.81	Professional	26	$10.00	$16.60	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $34.67 / $83.18	Professional	TC	$26.92	$34.67	$83.18
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $10.72 / $10.72	Facility	26	$9.33	$10.72	$10.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $165.96	Professional		$75.86	$112.20	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $29.51 / $43.65	Professional	26	$20.42	$29.51	$43.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $85.11 / $123.03	Professional	TC	$56.23	$85.11	$123.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $38.90 / $107.15	Facility	26	$10.00	$38.90	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $144.54	Professional		$46.77	$87.10	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $23.44 / $37.15	Professional	26	$13.49	$23.44	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $63.10 / $107.15	Professional	TC	$32.36	$63.10	$107.15
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $43.65 / $85.11	Facility	26	$34.67	$43.65	$85.11
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $112.20	Professional		$70.79	$70.79	$112.20
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $18.20 / $28.84	Professional	26	$18.20	$18.20	$28.84
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $53.70 / $83.18	Professional	TC	$53.70	$53.70	$83.18
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 $43.65 / $79.43 / $309.03	Professional		$43.65	$79.43	$309.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $23.99 / $95.50	Professional	26	$13.18	$23.99	$95.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $52.48 / $251.19	Professional	TC	$30.90	$52.48	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $141.25	Professional		$44.67	$70.79	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $22.39 / $38.90	Professional	26	$12.88	$22.39	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $51.29 / $104.71	Professional	TC	$30.90	$51.29	$104.71