Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.99 / $10.99 / $16.48	Facility	26	$10.99	$10.99	$16.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $41.33 / $175.05	Professional		$32.51	$41.33	$175.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $10.99 / $37.79	Professional	26	$9.35	$10.99	$37.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.67 / $29.44 / $76.50	Professional	TC	$23.67	$29.44	$76.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.92 / $8.92 / $8.92	Facility	26	$8.92	$8.92	$8.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $115.10 / $139.60	Professional		$68.70	$115.10	$139.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.63 / $30.95 / $37.54	Professional	26	$18.63	$30.95	$37.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.15 / $84.15 / $102.06	Professional	TC	$53.15	$84.15	$102.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $36.22 / $89.07	Facility	26	$21.38	$36.22	$89.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $76.05 / $127.31	Professional		$41.24	$76.05	$127.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.72 / $19.98 / $33.44	Professional	26	$11.72	$19.98	$33.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.00 / $56.07 / $93.86	Professional	TC	$30.00	$56.07	$93.86
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.04 / $32.65 / $70.14	Facility	26	$19.04	$32.65	$70.14
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $70.88 / $120.89	Professional		$59.89	$70.88	$120.89
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $15.73 / $18.62 / $31.76	Professional	26	$15.73	$18.62	$31.76
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $44.15 / $52.26 / $89.13	Professional	TC	$44.15	$52.26	$89.13
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 $38.97 / $70.16 / $252.05	Professional		$38.97	$70.16	$252.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $22.19 / $92.47	Professional	26	$11.91	$22.19	$92.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.07 / $46.02 / $226.00	Professional	TC	$27.07	$46.02	$226.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $65.09 / $120.70	Professional		$38.24	$65.09	$120.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $21.61 / $87.90	Professional	26	$11.91	$21.61	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.21 / $42.89 / $83.82	Professional	TC	$26.21	$42.89	$83.82