Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.75 / $12.75 / $19.12	Facility	26	$12.75	$12.75	$19.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.93 / $44.49 / $211.85	Professional		$34.93	$44.49	$211.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $12.89 / $34.71	Professional	26	$10.57	$12.89	$34.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $28.66 / $59.20	Professional	TC	$23.26	$28.66	$59.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $123.81 / $150.16	Professional		$75.12	$123.81	$150.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.55 / $35.78 / $43.40	Professional	26	$21.55	$35.78	$43.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.73 / $88.02 / $106.75	Professional	TC	$60.73	$88.02	$106.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.83 / $42.06 / $103.44	Facility	26	$24.83	$42.06	$103.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $83.14 / $139.16	Professional		$43.95	$83.14	$139.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.83 / $23.20 / $38.84	Professional	26	$14.83	$23.20	$38.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.99 / $59.94 / $99.22	Professional	TC	$28.99	$59.94	$99.22
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.11 / $37.90 / $81.45	Facility	26	$22.11	$37.90	$81.45
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $77.48 / $132.16	Professional		$65.47	$77.48	$132.16
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.27 / $21.63 / $36.88	Professional	26	$18.27	$21.63	$36.88
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 Professional Modifier Low / Median / High Price $42.22 / $75.31 / $273.64	Professional		$42.22	$75.31	$273.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.71 / $24.46 / $68.66	Professional	26	$13.71	$24.46	$68.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $48.14 / $194.73	Professional	TC	$28.51	$48.14	$194.73
United Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $76.50 / $136.11	Professional		$40.90	$76.50	$136.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.71 / $23.81 / $42.45	Professional	26	$13.71	$23.81	$42.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.25 / $46.81 / $91.67	Professional	TC	$28.25	$46.81	$91.67