Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $109.65	Professional		$33.88	$45.71	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.14 / $44.67	Professional	26	$10.96	$15.14	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.20 / $67.61	Professional	TC	$22.91	$30.20	$67.61
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $11.48 / $11.48	Facility	26	$10.00	$11.48	$11.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $154.88	Professional		$72.44	$104.71	$154.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.11 / $48.98	Professional	26	$22.39	$33.11	$48.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $74.13 / $107.15	Professional	TC	$48.98	$74.13	$107.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $43.65 / $120.23	Facility	26	$11.22	$43.65	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $131.83	Professional		$44.67	$81.28	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $25.70 / $40.74	Professional	26	$14.45	$25.70	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $57.54 / $95.50	Professional	TC	$30.20	$57.54	$95.50
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $47.86 / $95.50	Facility	26	$38.90	$47.86	$95.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $104.71	Professional		$66.07	$66.07	$104.71
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.42 / $31.62	Professional	26	$20.42	$20.42	$31.62
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $45.71 / $72.44	Professional	TC	$45.71	$45.71	$72.44
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 $41.69 / $70.79 / $281.84	Professional		$41.69	$70.79	$281.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $25.70 / $100.00	Professional	26	$14.45	$25.70	$100.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $45.71 / $251.19	Professional	TC	$26.92	$45.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $131.83	Professional		$41.69	$66.07	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $23.44 / $43.65	Professional	26	$14.45	$23.44	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $43.65 / $91.20	Professional	TC	$26.92	$43.65	$91.20