Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.47	Facility	26	$10.00	$10.00	$10.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $158.49	Professional		$33.11	$47.86	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $38.90	Professional	26	$8.91	$14.79	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.11 / $72.44	Professional	TC	$23.99	$33.11	$72.44
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $9.12 / $9.12	Facility	26	$7.94	$9.12	$9.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $144.54	Professional		$67.61	$97.72	$144.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $25.70 / $38.02	Professional	26	$17.38	$25.70	$38.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $74.13 / $107.15	Professional	TC	$48.98	$74.13	$107.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $33.88 / $93.33	Facility	26	$8.71	$33.88	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $123.03	Professional		$47.86	$77.62	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.95 / $31.62	Professional	26	$12.02	$19.95	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $58.88 / $95.50	Professional	TC	$34.67	$58.88	$95.50
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $37.15 / $74.13	Facility	26	$30.20	$37.15	$74.13
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $97.72	Professional		$61.66	$61.66	$97.72
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $15.85 / $24.55	Professional	26	$15.85	$15.85	$24.55
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $45.71 / $72.44	Professional	TC	$45.71	$45.71	$72.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $263.03	Professional		$39.81	$75.86	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $22.39 / $117.49	Professional	26	$11.48	$22.39	$117.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $53.70 / $199.53	Professional	TC	$28.18	$53.70	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $125.89	Professional		$39.81	$70.79	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $19.05 / $33.11	Professional	26	$11.22	$19.05	$33.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $51.29 / $93.33	Professional	TC	$28.18	$51.29	$93.33