Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.40 / $12.40 / $12.40	Facility	26	$12.40	$12.40	$12.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $42.73 / $74.89	Professional		$34.59	$42.73	$74.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $12.40 / $37.79	Professional	26	$9.75	$12.40	$37.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $31.45 / $59.20	Professional	TC	$24.55	$31.45	$59.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.07 / $10.07 / $10.07	Facility	26	$10.07	$10.07	$10.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $122.83 / $148.97	Professional		$73.37	$122.83	$148.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.96 / $34.82 / $42.23	Professional	26	$20.96	$34.82	$42.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.81 / $88.02 / $106.75	Professional	TC	$59.81	$88.02	$106.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.14 / $40.90 / $100.57	Facility	26	$24.14	$40.90	$100.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $81.20 / $134.41	Professional		$42.49	$81.20	$134.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $22.56 / $37.76	Professional	26	$11.98	$22.56	$37.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.56 / $58.65 / $98.18	Professional	TC	$30.56	$58.65	$98.18
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.50 / $36.86 / $79.19	Facility	26	$21.50	$36.86	$79.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $75.69 / $129.09	Professional		$63.95	$75.69	$129.09
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.76 / $21.02 / $35.86	Professional	26	$17.76	$21.02	$35.86
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 $41.14 / $72.98 / $271.52	Professional		$41.14	$72.98	$271.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $23.04 / $97.41	Professional	26	$12.99	$23.04	$97.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.15 / $50.82 / $210.00	Professional	TC	$28.15	$50.82	$210.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $75.28 / $132.91	Professional		$41.06	$75.28	$132.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $20.79 / $40.22	Professional	26	$12.34	$20.79	$40.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.15 / $48.07 / $87.17	Professional	TC	$28.15	$48.07	$87.17