Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $7.94	Facility	26	$7.94	$7.94	$7.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $95.50	Professional		$25.70	$33.88	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $25.12	Professional	26	$6.03	$8.91	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $24.55 / $53.70	Professional	TC	$18.20	$24.55	$53.70
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.17 / $7.08 / $7.08	Facility	26	$6.17	$7.08	$7.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $120.23	Professional		$54.95	$81.28	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $19.95 / $29.51	Professional	26	$13.80	$19.95	$29.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $63.10 / $91.20	Professional	TC	$41.69	$63.10	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $25.12 / $69.18	Facility	26	$6.76	$25.12	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $58.88 / $102.33	Professional		$31.62	$58.88	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $15.49 / $24.55	Professional	26	$9.12	$15.49	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $45.71 / $79.43	Professional	TC	$22.39	$45.71	$79.43
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $27.54 / $54.95	Facility	26	$22.39	$27.54	$54.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $79.43	Professional		$51.29	$51.29	$79.43
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $12.30 / $19.05	Professional	26	$12.30	$12.30	$19.05
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $38.90 / $61.66	Professional	TC	$38.90	$38.90	$61.66
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 $30.20 / $56.23 / $208.93	Professional		$30.20	$56.23	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.22 / $83.18	Professional	26	$8.91	$16.22	$83.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $37.15 / $158.49	Professional	TC	$21.38	$37.15	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $102.33	Professional		$30.90	$48.98	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.79 / $25.70	Professional	26	$8.51	$14.79	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $35.48 / $75.86	Professional	TC	$21.88	$35.48	$75.86