Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.64 / $10.64 / $10.64	Facility	26	$10.64	$10.64	$10.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $42.01 / $73.45	Professional		$31.59	$42.01	$73.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $10.64 / $16.98	Professional	26	$8.84	$10.64	$16.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.96 / $30.00 / $46.07	Professional	TC	$22.96	$30.00	$46.07
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.64 / $8.64 / $8.64	Facility	26	$8.64	$8.64	$8.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $119.93 / $145.46	Professional		$71.63	$119.93	$145.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $29.99 / $36.36	Professional	26	$18.05	$29.99	$36.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.20 / $89.95 / $109.10	Professional	TC	$59.20	$89.95	$109.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.69 / $35.04 / $86.20	Facility	26	$20.69	$35.04	$86.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $79.28 / $131.22	Professional		$42.30	$79.28	$131.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $19.34 / $32.63	Professional	26	$11.79	$19.34	$32.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.19 / $59.94 / $99.22	Professional	TC	$30.19	$59.94	$99.22
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.43 / $31.59 / $67.88	Facility	26	$18.43	$31.59	$67.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $73.89 / $126.01	Professional		$62.42	$73.89	$126.01
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $15.23 / $18.02 / $30.74	Professional	26	$15.23	$18.02	$30.74
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $47.20 / $55.87 / $95.28	Professional	TC	$47.20	$55.87	$95.28
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 $39.84 / $67.56 / $267.27	Professional		$39.84	$67.56	$267.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $20.61 / $85.85	Professional	26	$11.55	$20.61	$85.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.21 / $48.59 / $244.00	Professional	TC	$28.21	$48.59	$244.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $61.57 / $125.16	Professional		$38.71	$61.57	$125.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.33 / $19.45 / $35.21	Professional	26	$11.33	$19.45	$35.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.41 / $44.34 / $89.40	Professional	TC	$27.41	$44.34	$89.40