Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.53 / $8.53 / $8.53	Facility	26	$8.53	$8.53	$8.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $36.68 / $76.31	Professional		$29.89	$36.68	$76.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $8.53 / $30.26	Professional	26	$7.11	$8.53	$30.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $28.13 / $58.54	Professional	TC	$22.57	$28.13	$58.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $6.90 / $6.90	Facility	26	$6.90	$6.90	$6.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $109.30 / $132.56	Professional		$65.81	$109.30	$132.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $23.21 / $28.15	Professional	26	$14.56	$23.21	$28.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.20 / $86.09 / $104.41	Professional	TC	$58.20	$86.09	$104.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.86 / $26.87 / $66.09	Facility	26	$15.86	$26.87	$66.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $72.83 / $120.56	Professional		$35.28	$72.83	$120.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $15.47 / $26.11	Professional	26	$9.27	$15.47	$26.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.22 / $57.36 / $94.95	Professional	TC	$26.22	$57.36	$94.95
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $24.22 / $52.04	Facility	26	$14.13	$24.22	$52.04
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $67.88 / $115.77	Professional		$57.35	$67.88	$115.77
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $14.42 / $24.59	Professional	26	$12.18	$14.42	$24.59
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $45.17 / $53.46 / $91.18	Professional	TC	$45.17	$53.46	$91.18
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 $36.26 / $64.27 / $245.68	Professional		$36.26	$64.27	$245.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $16.54 / $61.09	Professional	26	$9.02	$16.54	$61.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.60 / $45.94 / $192.57	Professional	TC	$26.60	$45.94	$192.57
United Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $58.53 / $113.98	Professional		$34.97	$58.53	$113.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $15.25 / $27.50	Professional	26	$8.85	$15.25	$27.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.40 / $42.67 / $84.73	Professional	TC	$26.40	$42.67	$84.73