Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.89 / $8.89 / $13.33	Facility	26	$8.89	$8.89	$13.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $31.00 / $137.75	Professional		$24.92	$31.00	$137.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $10.38 / $46.55	Professional	26	$7.33	$10.38	$46.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $21.93 / $42.43	Professional	TC	$17.57	$21.93	$42.43
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.20 / $7.20 / $7.20	Facility	26	$7.20	$7.20	$7.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $90.92 / $110.27	Professional		$54.74	$90.92	$110.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $24.94 / $30.50	Professional	26	$15.14	$24.94	$30.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.48 / $65.77 / $79.77	Professional	TC	$44.48	$65.77	$79.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.23 / $29.21 / $71.83	Facility	26	$17.23	$29.21	$71.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $60.59 / $100.29	Professional		$30.51	$60.59	$100.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $16.11 / $27.19	Professional	26	$9.25	$16.11	$27.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.87 / $44.47 / $73.61	Professional	TC	$20.87	$44.47	$73.61
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $15.36 / $26.33 / $56.56	Facility	26	$15.36	$26.33	$56.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $56.47 / $96.30	Professional		$47.71	$56.47	$96.30
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.69 / $15.02 / $25.61	Professional	26	$12.69	$15.02	$25.61
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $35.02 / $41.45 / $70.69	Professional	TC	$35.02	$41.45	$70.69
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 $31.04 / $55.38 / $202.27	Professional		$31.04	$55.38	$202.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $17.94 / $111.75	Professional	26	$9.38	$17.94	$111.75
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.66 / $36.76 / $146.99	Professional	TC	$21.66	$36.76	$146.99
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $50.80 / $96.11	Professional		$29.51	$50.80	$96.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.21 / $14.94 / $28.60	Professional	26	$9.21	$14.94	$28.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.58 / $34.44 / $67.06	Professional	TC	$20.58	$34.44	$67.06