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 $31.42 / $39.65 / $193.00	Professional		$31.42	$39.65	$193.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $10.99 / $32.93	Professional	26	$8.22	$10.99	$32.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.98 / $28.58 / $56.85	Professional	TC	$22.98	$28.58	$56.85
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 $68.70 / $114.14 / $138.43	Professional		$68.70	$114.14	$138.43
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 $53.03 / $83.18 / $100.89	Professional	TC	$53.03	$83.18	$100.89
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 $38.93 / $76.05 / $125.89	Professional		$38.93	$76.05	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.42 / $19.98 / $33.44	Professional	26	$10.42	$19.98	$33.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.72 / $56.07 / $92.82	Professional	TC	$27.72	$56.07	$92.82
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 $59.89 / $70.88 / $120.89	Professional		$59.89	$70.88	$120.89
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 $44.15 / $52.26 / $89.13	Professional	TC	$44.15	$52.26	$89.13
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 $38.61 / $68.90 / $252.05	Professional		$38.61	$68.90	$252.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.69 / $20.88 / $97.41	Professional	26	$11.69	$20.88	$97.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.31 / $45.28 / $183.85	Professional	TC	$26.31	$45.28	$183.85
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $62.06 / $117.74	Professional		$36.69	$62.06	$117.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $17.89 / $36.31	Professional	26	$11.32	$17.89	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.21 / $42.47 / $81.43	Professional	TC	$26.21	$42.47	$81.43