Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.64 / $10.64 / $10.64	Facility	26	$10.64	$10.64	$10.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $38.95 / $90.45	Professional		$32.13	$38.95	$90.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.05 / $10.64 / $21.19	Professional	26	$9.05	$10.64	$21.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.37 / $27.69 / $43.97	Professional	TC	$22.37	$27.69	$43.97
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.64 / $8.64 / $8.64	Facility	26	$8.64	$8.64	$8.64
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 $18.05 / $29.99 / $36.36	Professional	26	$18.05	$29.99	$36.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.63 / $79.31 / $96.19	Professional	TC	$53.63	$79.31	$96.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.69 / $35.04 / $86.20	Facility	26	$20.69	$35.04	$86.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $72.83 / $121.91	Professional		$44.61	$72.83	$121.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.34 / $32.63	Professional	26	$12.88	$19.34	$32.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.40 / $53.50 / $89.55	Professional	TC	$30.40	$53.50	$89.55
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.43 / $31.59 / $67.88	Facility	26	$18.43	$31.59	$67.88
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 $15.23 / $18.02 / $30.74	Professional	26	$15.23	$18.02	$30.74
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $42.12 / $49.86 / $85.03	Professional	TC	$42.12	$49.86	$85.03
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 $37.17 / $68.44 / $262.00	Professional		$37.17	$68.44	$262.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $22.60 / $107.32	Professional	26	$11.86	$22.60	$107.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $46.24 / $249.00	Professional	TC	$25.62	$46.24	$249.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $68.44 / $119.06	Professional		$37.17	$68.44	$119.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $20.79 / $35.77	Professional	26	$11.55	$20.79	$35.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $45.21 / $79.33	Professional	TC	$25.62	$45.21	$79.33