Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.15 / $14.15 / $14.15	Facility	26	$14.15	$14.15	$14.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $43.30 / $77.20	Professional		$36.03	$43.30	$77.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $13.40 / $22.72	Professional	26	$11.50	$13.40	$22.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.00 / $28.75 / $45.07	Professional	TC	$24.00	$28.75	$45.07
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.51 / $11.51 / $11.51	Facility	26	$11.51	$11.51	$11.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $127.67 / $154.85	Professional		$76.29	$127.67	$154.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.88 / $39.65 / $48.10	Professional	26	$23.88	$39.65	$48.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.51 / $88.02 / $106.75	Professional	TC	$59.51	$88.02	$106.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.59 / $46.74 / $114.94	Facility	26	$27.59	$46.74	$114.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $84.43 / $139.76	Professional		$46.86	$84.43	$139.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $25.78 / $43.38	Professional	26	$14.51	$25.78	$43.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.80 / $58.65 / $97.99	Professional	TC	$30.80	$58.65	$97.99
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $24.57 / $42.12 / $90.50	Facility	26	$24.57	$42.12	$90.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $78.69 / $134.21	Professional		$66.48	$78.69	$134.21
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $24.03 / $40.98	Professional	26	$20.30	$24.03	$40.98
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $46.18 / $54.66 / $93.23	Professional	TC	$46.18	$54.66	$93.23
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 $42.85 / $72.81 / $282.23	Professional		$42.85	$72.81	$282.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $25.97 / $100.72	Professional	26	$15.16	$25.97	$100.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $47.66 / $254.00	Professional	TC	$28.51	$47.66	$254.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $68.42 / $133.13	Professional		$41.49	$68.42	$133.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $24.88 / $47.99	Professional	26	$15.16	$24.88	$47.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.83 / $43.77 / $88.28	Professional	TC	$26.83	$43.77	$88.28