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 $43.65 / $70.79 / $218.78	Professional		$43.65	$70.79	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $20.42 / $53.70	Professional	26	$10.96	$20.42	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $46.77 / $107.15	Professional	TC	$32.36	$46.77	$107.15
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 $85.11 / $125.89 / $186.21	Professional		$85.11	$125.89	$186.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.20 / $45.71	Professional	26	$20.89	$30.20	$45.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $97.72 / $141.25	Professional	TC	$64.57	$97.72	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $38.90 / $107.15	Facility	26	$10.23	$38.90	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $158.49	Professional		$54.95	$93.33	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $23.99 / $38.90	Professional	26	$15.85	$23.99	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $74.13 / $125.89	Professional	TC	$38.90	$74.13	$125.89
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 $79.43 / $79.43 / $125.89	Professional		$79.43	$79.43	$125.89
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $18.62 / $33.11	Professional	26	$18.62	$18.62	$33.11
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $60.26 / $95.50	Professional	TC	$60.26	$60.26	$95.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $114.82 / $331.13	Professional		$48.98	$114.82	$331.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $28.84 / $120.23	Professional	26	$14.79	$28.84	$120.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $61.66 / $295.12	Professional	TC	$35.48	$61.66	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $154.88	Professional		$48.98	$83.18	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $23.44 / $38.90	Professional	26	$13.49	$23.44	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $58.88 / $117.49	Professional	TC	$35.48	$58.88	$117.49