Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.69 / $11.69 / $11.69	Facility	26	$11.69	$11.69	$11.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $53.72 / $107.39	Professional		$43.12	$53.72	$107.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $11.69 / $21.29	Professional	26	$9.71	$11.69	$21.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $40.32 / $62.04	Professional	TC	$33.15	$40.32	$62.04
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.50 / $9.50 / $9.50	Facility	26	$9.50	$9.50	$9.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $153.79 / $186.52	Professional		$92.59	$153.79	$186.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.80 / $32.89 / $39.89	Professional	26	$19.80	$32.89	$39.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.38 / $120.90 / $146.63	Professional	TC	$83.38	$120.90	$146.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.76 / $38.56 / $94.82	Facility	26	$22.76	$38.56	$94.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $103.12 / $170.70	Professional		$53.05	$103.12	$170.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.04 / $21.27 / $35.90	Professional	26	$13.04	$21.27	$35.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.35 / $81.84 / $135.49	Professional	TC	$39.35	$81.84	$135.49
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $20.27 / $34.75 / $74.66	Facility	26	$20.27	$34.75	$74.66
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $96.11 / $163.92	Professional		$81.20	$96.11	$163.92
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $16.75 / $19.82 / $33.81	Professional	26	$16.75	$19.82	$33.81
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $64.45 / $76.29 / $130.11	Professional	TC	$64.45	$76.29	$130.11
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 $52.33 / $91.03 / $345.31	Professional		$52.33	$91.03	$345.31
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $22.94 / $142.00	Professional	26	$12.63	$22.94	$142.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $39.70 / $67.06 / $272.83	Professional	TC	$39.70	$67.06	$272.83
United Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $86.98 / $162.04	Professional		$52.33	$86.98	$162.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $21.90 / $39.11	Professional	26	$12.63	$21.90	$39.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.70 / $64.33 / $121.04	Professional	TC	$39.70	$64.33	$121.04