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 $26.34 / $33.40 / $65.06	Professional		$26.34	$33.40	$65.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $8.53 / $18.80	Professional	26	$7.11	$8.53	$18.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $24.20 / $47.29	Professional	TC	$19.23	$24.20	$47.29
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 $54.00 / $93.82 / $113.79	Professional		$54.00	$93.82	$113.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $24.18 / $29.33	Professional	26	$14.56	$24.18	$29.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.82 / $69.64 / $84.46	Professional	TC	$46.82	$69.64	$84.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.55 / $28.04 / $68.95	Facility	26	$16.55	$28.04	$68.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $62.52 / $103.49	Professional		$35.10	$62.52	$103.49
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 $24.85 / $47.05 / $77.88	Professional	TC	$24.85	$47.05	$77.88
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $14.74 / $25.27 / $54.30	Facility	26	$14.74	$25.27	$54.30
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $49.23 / $58.27 / $99.38	Professional		$49.23	$58.27	$99.38
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 $37.04 / $43.85 / $74.79	Professional	TC	$37.04	$43.85	$74.79
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 $31.40 / $55.99 / $208.83	Professional		$31.40	$55.99	$208.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $16.26 / $66.04	Professional	26	$9.02	$16.26	$66.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $39.45 / $188.00	Professional	TC	$22.38	$39.45	$188.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $52.59 / $95.73	Professional		$30.87	$52.59	$95.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $14.93 / $27.50	Professional	26	$8.86	$14.93	$27.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $37.78 / $68.23	Professional	TC	$22.38	$37.78	$68.23