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 $51.29 / $77.62 / $223.87	Professional		$51.29	$77.62	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $20.89 / $64.57	Professional	26	$12.02	$20.89	$64.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $50.12 / $117.49	Professional	TC	$38.02	$50.12	$117.49
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $12.02 / $12.02	Facility	26	$10.47	$12.02	$12.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $223.87	Professional		$102.33	$147.91	$223.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $34.67 / $51.29	Professional	26	$23.44	$34.67	$51.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $120.23 / $169.82	Professional	TC	$77.62	$120.23	$169.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $45.71 / $125.89	Facility	26	$11.75	$45.71	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $190.55	Professional		$66.07	$114.82	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $26.92 / $42.66	Professional	26	$18.62	$26.92	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $91.20 / $151.36	Professional	TC	$47.86	$91.20	$151.36
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $50.12 / $100.00	Facility	26	$40.74	$50.12	$100.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $147.91	Professional		$95.50	$95.50	$147.91
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $21.38 / $38.02	Professional	26	$21.38	$21.38	$38.02
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $74.13 / $114.82	Professional	TC	$74.13	$74.13	$114.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $398.11	Professional		$60.26	$107.15	$398.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $30.90 / $138.04	Professional	26	$15.49	$30.90	$138.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $72.44 / $354.81	Professional	TC	$42.66	$72.44	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $190.55	Professional		$58.88	$97.72	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $27.54 / $44.67	Professional	26	$15.49	$27.54	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $70.79 / $144.54	Professional	TC	$42.66	$70.79	$144.54