Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $13.80 / $13.80	Facility	26	$13.80	$13.80	$13.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $46.91 / $85.17	Professional		$39.22	$46.91	$85.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $13.80 / $22.65	Professional	26	$11.40	$13.80	$22.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.80 / $32.65 / $51.56	Professional	TC	$27.80	$32.65	$51.56
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $11.22 / $11.22	Facility	26	$11.22	$11.22	$11.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $139.28 / $168.93	Professional		$83.27	$139.28	$168.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.29 / $38.69 / $46.92	Professional	26	$23.29	$38.69	$46.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.70 / $100.59 / $122.00	Professional	TC	$68.70	$100.59	$122.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.90 / $45.57 / $112.06	Facility	26	$26.90	$45.57	$112.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $92.81 / $153.63	Professional		$49.24	$92.81	$153.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.12 / $25.14 / $42.42	Professional	26	$15.12	$25.14	$42.42
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 $23.95 / $41.07 / $88.24	Facility	26	$23.95	$41.07	$88.24
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $86.50 / $147.53	Professional		$73.08	$86.50	$147.53
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.79 / $23.43 / $39.96	Professional	26	$19.79	$23.43	$39.96
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 $47.03 / $79.58 / $438.00	Professional		$47.03	$79.58	$438.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $25.99 / $97.41	Professional	26	$14.44	$25.99	$97.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.09 / $55.40 / $423.00	Professional	TC	$32.09	$55.40	$423.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $75.18 / $144.13	Professional		$44.92	$75.18	$144.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.17 / $24.55 / $44.02	Professional	26	$14.17	$24.55	$44.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.20 / $50.74 / $101.69	Professional	TC	$31.20	$50.74	$101.69