Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.09 / $13.09 / $19.63	Facility	26	$13.09	$13.09	$19.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $44.51 / $97.82	Professional		$29.17	$44.51	$97.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $13.26 / $48.95	Professional	26	$11.10	$13.26	$48.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $31.05 / $82.77	Professional	TC	$24.12	$31.05	$82.77
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.65 / $10.65 / $10.65	Facility	26	$10.65	$10.65	$10.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $122.83 / $148.97	Professional		$73.37	$122.83	$148.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.13 / $36.76 / $44.58	Professional	26	$22.13	$36.76	$44.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.38 / $86.09 / $104.41	Professional	TC	$54.38	$86.09	$104.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.52 / $43.23 / $106.31	Facility	26	$25.52	$43.23	$106.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $81.20 / $134.41	Professional		$43.38	$81.20	$134.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $23.85 / $40.25	Professional	26	$14.36	$23.85	$40.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.94 / $57.36 / $94.95	Professional	TC	$28.94	$57.36	$94.95
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.73 / $38.96 / $83.71	Facility	26	$22.73	$38.96	$83.71
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $75.69 / $129.09	Professional		$63.95	$75.69	$129.09
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.78 / $22.23 / $37.90	Professional	26	$18.78	$22.23	$37.90
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $45.17 / $53.46 / $91.18	Professional	TC	$45.17	$53.46	$91.18
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 $41.50 / $78.47 / $271.47	Professional		$41.50	$78.47	$271.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.94 / $28.21 / $94.11	Professional	26	$14.94	$28.21	$94.11
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.33 / $45.50 / $227.00	Professional	TC	$27.33	$45.50	$227.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $65.98 / $126.53	Professional		$40.15	$65.98	$126.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.71 / $27.06 / $87.90	Professional	26	$13.71	$27.06	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.61 / $41.58 / $84.73	Professional	TC	$25.61	$41.58	$84.73