Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.83 / $7.83 / $7.83	Facility	26	$7.83	$7.83	$7.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $25.15 / $103.55	Professional		$20.14	$25.15	$103.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.63 / $7.89 / $22.08	Professional	26	$6.63	$7.89	$22.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.60 / $17.14 / $31.63	Professional	TC	$13.60	$17.14	$31.63
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.33 / $6.33 / $6.33	Facility	26	$6.33	$6.33	$6.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $70.61 / $85.64	Professional		$42.51	$70.61	$85.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.40 / $22.25 / $26.98	Professional	26	$13.40	$22.25	$26.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.59 / $48.37 / $58.66	Professional	TC	$31.59	$48.37	$58.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.17 / $25.71 / $63.21	Facility	26	$15.17	$25.71	$63.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $46.41 / $76.81	Professional		$25.54	$46.41	$76.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $14.18 / $23.93	Professional	26	$8.34	$14.18	$23.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.46 / $32.22 / $53.94	Professional	TC	$17.46	$32.22	$53.94
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $13.51 / $23.17 / $49.78	Facility	26	$13.51	$23.17	$49.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $43.25 / $73.76	Professional		$36.54	$43.25	$73.76
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $13.22 / $22.54	Professional	26	$11.17	$13.22	$22.54
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.38 / $30.04 / $51.23	Professional	TC	$25.38	$30.04	$51.23
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 $24.49 / $41.88 / $542.00	Professional		$24.49	$41.88	$542.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $15.56 / $62.74	Professional	26	$8.30	$15.56	$62.74
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.23 / $27.46 / $498.00	Professional	TC	$16.23	$27.46	$498.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $39.04 / $75.98	Professional		$23.45	$39.04	$75.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $13.07 / $25.31	Professional	26	$7.89	$13.07	$25.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.63 / $26.66 / $49.51	Professional	TC	$15.63	$26.66	$49.51