Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $21.88	Facility	26	$12.02	$12.02	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $162.18	Professional		$34.67	$48.98	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.95 / $50.12	Professional	26	$10.96	$19.95	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $81.28	Professional	TC	$22.91	$32.36	$81.28
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $10.72 / $10.72	Facility	26	$9.33	$10.72	$10.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $154.88	Professional		$70.79	$102.33	$154.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $29.51 / $44.67	Professional	26	$20.42	$29.51	$44.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $75.86 / $109.65	Professional	TC	$50.12	$75.86	$109.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $38.90 / $107.15	Facility	26	$10.00	$38.90	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $79.43 / $131.83	Professional		$42.66	$79.43	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $23.44 / $37.15	Professional	26	$14.45	$23.44	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $53.70 / $95.50	Professional	TC	$28.18	$53.70	$95.50
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $43.65 / $85.11	Facility	26	$34.67	$43.65	$85.11
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $102.33	Professional		$66.07	$66.07	$102.33
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $18.20 / $28.84	Professional	26	$18.20	$18.20	$28.84
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $74.13	Professional	TC	$46.77	$46.77	$74.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.62 / $275.42	Professional		$39.81	$77.62	$275.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $25.12 / $79.43	Professional	26	$13.80	$25.12	$79.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $44.67 / $194.98	Professional	TC	$25.70	$44.67	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $131.83	Professional		$39.81	$66.07	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $22.39 / $38.90	Professional	26	$12.88	$22.39	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $44.67 / $93.33	Professional	TC	$26.92	$44.67	$93.33