Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.23	Facility	26	$10.00	$10.00	$10.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $154.88	Professional		$31.62	$45.71	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.60 / $33.88	Professional	26	$8.91	$16.60	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $79.43	Professional	TC	$21.88	$30.20	$79.43
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $8.91 / $8.91	Facility	26	$7.76	$8.91	$8.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $141.25	Professional		$64.57	$93.33	$141.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $25.70 / $38.02	Professional	26	$17.38	$25.70	$38.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $70.79 / $102.33	Professional	TC	$46.77	$70.79	$102.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $33.88 / $93.33	Facility	26	$8.71	$33.88	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $69.18 / $120.23	Professional		$37.15	$69.18	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $19.50 / $31.62	Professional	26	$10.47	$19.50	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $51.29 / $91.20	Professional	TC	$27.54	$51.29	$91.20
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $37.15 / $74.13	Facility	26	$30.20	$37.15	$74.13
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $93.33	Professional		$60.26	$60.26	$93.33
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $15.85 / $24.55	Professional	26	$15.85	$15.85	$24.55
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $43.65 / $69.18	Professional	TC	$43.65	$43.65	$69.18
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 $36.31 / $75.86 / $251.19	Professional		$36.31	$75.86	$251.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $22.39 / $97.72	Professional	26	$10.96	$22.39	$97.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $44.67 / $181.97	Professional	TC	$25.12	$44.67	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $117.49	Professional		$36.31	$57.54	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.60 / $33.88	Professional	26	$10.72	$16.60	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $42.66 / $87.10	Professional	TC	$25.12	$42.66	$87.10