Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.66 / $15.66 / $15.66	Facility	26	$15.66	$15.66	$15.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $53.00 / $106.15	Professional		$43.43	$53.00	$106.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.09 / $15.66 / $48.06	Professional	26	$13.09	$15.66	$48.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.26 / $38.61 / $72.05	Professional	TC	$31.26	$38.61	$72.05
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.66 / $12.66 / $12.66	Facility	26	$12.66	$12.66	$12.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $152.82 / $185.35	Professional		$91.43	$152.82	$185.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $44.49 / $53.96	Professional	26	$26.78	$44.49	$53.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.03 / $108.33 / $131.38	Professional	TC	$74.03	$108.33	$131.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.04 / $52.58 / $129.30	Facility	26	$31.04	$52.58	$129.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $101.84 / $168.56	Professional		$56.10	$101.84	$168.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.18 / $29.00 / $48.95	Professional	26	$17.18	$29.00	$48.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.06 / $72.83 / $121.91	Professional	TC	$39.06	$72.83	$121.91
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $27.64 / $47.39 / $101.81	Facility	26	$27.64	$47.39	$101.81
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $94.91 / $161.87	Professional		$80.19	$94.91	$161.87
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.84 / $27.03 / $46.10	Professional	26	$22.84	$27.03	$46.10
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $57.35 / $67.88 / $115.77	Professional	TC	$57.35	$67.88	$115.77
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 $51.97 / $92.46 / $338.57	Professional		$51.97	$92.46	$338.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $29.88 / $117.24	Professional	26	$16.60	$29.88	$117.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.36 / $61.20 / $291.00	Professional	TC	$35.36	$61.20	$291.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $86.47 / $160.91	Professional		$51.97	$86.47	$160.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.29 / $28.00 / $50.61	Professional	26	$16.29	$28.00	$50.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.36 / $59.81 / $107.84	Professional	TC	$35.36	$59.81	$107.84