Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.18 / $8.18 / $8.18	Facility	26	$8.18	$8.18	$8.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $32.21 / $73.95	Professional		$26.78	$32.21	$73.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $8.18 / $19.37	Professional	26	$6.84	$8.18	$19.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $23.27 / $37.09	Professional	TC	$19.46	$23.27	$37.09
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $6.90 / $6.90	Facility	26	$6.90	$6.90	$6.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $96.72 / $117.31	Professional		$58.04	$96.72	$117.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $23.21 / $28.15	Professional	26	$14.56	$23.21	$28.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $73.51 / $89.16	Professional	TC	$48.98	$73.51	$89.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.86 / $26.87 / $66.09	Facility	26	$15.86	$26.87	$66.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $65.09 / $107.75	Professional		$33.00	$65.09	$107.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $15.47 / $25.89	Professional	26	$9.27	$15.47	$25.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.09 / $49.63 / $82.15	Professional	TC	$23.09	$49.63	$82.15
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $24.22 / $52.04	Facility	26	$14.13	$24.22	$52.04
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $60.67 / $103.47	Professional		$51.26	$60.67	$103.47
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $14.42 / $24.59	Professional	26	$12.18	$14.42	$24.59
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $39.08 / $46.25 / $78.89	Professional	TC	$39.08	$46.25	$78.89
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 $31.45 / $56.56 / $210.99	Professional		$31.45	$56.56	$210.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $16.26 / $82.56	Professional	26	$9.02	$16.26	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.29 / $38.63 / $159.97	Professional	TC	$22.29	$38.63	$159.97
United Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $51.46 / $99.02	Professional		$31.45	$51.46	$99.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.57 / $15.03 / $27.50	Professional	26	$8.57	$15.03	$27.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.12 / $35.42 / $71.52	Professional	TC	$22.12	$35.42	$71.52