Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.97 / $14.97 / $14.97	Facility	26	$14.97	$14.97	$14.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $67.39 / $124.49	Professional		$51.07	$67.39	$124.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.57 / $16.17 / $40.94	Professional	26	$12.57	$16.17	$40.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.75 / $50.26 / $70.52	Professional	TC	$38.75	$50.26	$70.52
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.09 / $12.09 / $12.09	Facility	26	$12.09	$12.09	$12.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.97 / $215.85	Professional		$107.15	$177.97	$215.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $41.59 / $50.44	Professional	26	$25.62	$41.59	$50.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.21 / $136.38 / $165.41	Professional	TC	$92.21	$136.38	$165.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.97 / $49.07 / $120.68	Facility	26	$28.97	$49.07	$120.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $119.24 / $197.37	Professional		$72.37	$119.24	$197.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $27.71 / $46.77	Professional	26	$18.62	$27.71	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.39 / $91.52 / $153.19	Professional	TC	$53.39	$91.52	$153.19
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $25.80 / $44.23 / $95.03	Facility	26	$25.80	$44.23	$95.03
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $111.13 / $189.53	Professional		$93.89	$111.13	$189.53
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.82 / $25.83 / $44.05	Professional	26	$21.82	$25.83	$44.05
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $72.06 / $85.30 / $145.47	Professional	TC	$72.06	$85.30	$145.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $126.00 / $126.00 / $126.00	Facility	26	$126.00	$126.00	$126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $113.22 / $399.42	Professional		$60.27	$113.22	$399.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.54 / $29.65 / $151.90	Professional	26	$16.54	$29.65	$151.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $83.57 / $307.58	Professional	TC	$44.75	$83.57	$307.58
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $106.93 / $183.75	Professional		$60.27	$106.93	$183.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $29.26 / $47.73	Professional	26	$16.07	$29.26	$47.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $81.09 / $138.56	Professional	TC	$44.75	$81.09	$138.56