Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.99 / $10.99 / $10.99	Facility	26	$10.99	$10.99	$10.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $44.66 / $77.67	Professional		$33.67	$44.66	$77.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $10.99 / $38.27	Professional	26	$9.11	$10.99	$38.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $32.22 / $53.69	Professional	TC	$24.55	$32.22	$53.69
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.92 / $8.92 / $8.92	Facility	26	$8.92	$8.92	$8.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $118.00 / $143.12	Professional		$71.04	$118.00	$143.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.63 / $30.95 / $37.54	Professional	26	$18.63	$30.95	$37.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.62 / $87.05 / $105.58	Professional	TC	$59.62	$87.05	$105.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $36.22 / $89.07	Facility	26	$21.38	$36.22	$89.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $78.63 / $130.16	Professional		$49.12	$78.63	$130.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.26 / $19.98 / $33.72	Professional	26	$12.26	$19.98	$33.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.56 / $58.65 / $98.18	Professional	TC	$35.56	$58.65	$98.18
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.04 / $32.65 / $70.14	Facility	26	$19.04	$32.65	$70.14
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $73.29 / $124.99	Professional		$61.92	$73.29	$124.99
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $15.73 / $18.62 / $31.76	Professional	26	$15.73	$18.62	$31.76
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $46.18 / $54.66 / $93.23	Professional	TC	$46.18	$54.66	$93.23
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 $41.61 / $75.78 / $262.94	Professional		$41.61	$75.78	$262.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $21.03 / $117.24	Professional	26	$11.55	$21.03	$117.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.83 / $54.38 / $201.73	Professional	TC	$30.83	$54.38	$201.73
United Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $71.95 / $122.13	Professional		$40.06	$71.95	$122.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $20.91 / $35.21	Professional	26	$11.55	$20.91	$35.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $50.42 / $88.28	Professional	TC	$28.51	$50.42	$88.28