Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.88 / $21.88	Facility	26	$12.30	$12.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $43.65 / $147.91	Professional		$17.78	$43.65	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $19.05 / $43.65	Professional	26	$11.22	$19.05	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $35.48 / $93.33	Professional	TC	$23.99	$35.48	$93.33
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $10.72 / $10.72	Facility	26	$9.33	$10.72	$10.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $151.36	Professional		$69.18	$102.33	$151.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.90 / $45.71	Professional	26	$20.89	$30.90	$45.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $74.13 / $104.71	Professional	TC	$47.86	$74.13	$104.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $40.74 / $112.20	Facility	26	$10.47	$40.74	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $128.82	Professional		$41.69	$79.43	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $23.99 / $38.02	Professional	26	$14.13	$23.99	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $53.70 / $93.33	Professional	TC	$28.18	$53.70	$93.33
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $44.67 / $87.10	Facility	26	$35.48	$44.67	$87.10
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Professional		$64.57	$64.57	$100.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $18.62 / $29.51	Professional	26	$18.62	$18.62	$29.51
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $44.67 / $70.79	Professional	TC	$44.67	$44.67	$70.79
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 $40.74 / $89.13 / $269.15	Professional		$40.74	$89.13	$269.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $29.51 / $93.33	Professional	26	$15.14	$29.51	$93.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $43.65 / $229.09	Professional	TC	$26.30	$43.65	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $128.82	Professional		$39.81	$63.10	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $22.91 / $38.90	Professional	26	$13.49	$22.91	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $41.69 / $89.13	Professional	TC	$26.30	$41.69	$89.13