Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $234.42	Professional		$51.29	$75.86	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.62 / $48.98	Professional	26	$12.02	$18.62	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $51.29 / $114.82	Professional	TC	$37.15	$51.29	$114.82
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $12.02 / $12.02	Facility	26	$10.47	$12.02	$12.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $218.78	Professional		$100.00	$147.91	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $35.48 / $52.48	Professional	26	$23.99	$35.48	$52.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $117.49 / $169.82	Professional	TC	$75.86	$117.49	$169.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $45.71 / $125.89	Facility	26	$12.02	$45.71	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $186.21	Professional		$69.18	$117.49	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $27.54 / $43.65	Professional	26	$17.78	$27.54	$43.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $89.13 / $147.91	Professional	TC	$51.29	$89.13	$147.91
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $50.12 / $100.00	Facility	26	$40.74	$50.12	$100.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $147.91	Professional		$93.33	$93.33	$147.91
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $21.88 / $34.67	Professional	26	$21.88	$21.88	$34.67
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $72.44 / $112.20	Professional	TC	$72.44	$72.44	$112.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $398.11	Professional		$60.26	$109.65	$398.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $28.84 / $151.36	Professional	26	$15.49	$28.84	$151.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $81.28 / $309.03	Professional	TC	$44.67	$81.28	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $186.21	Professional		$60.26	$107.15	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $26.92 / $45.71	Professional	26	$15.49	$26.92	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $79.43 / $144.54	Professional	TC	$44.67	$79.43	$144.54