Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.89 / $8.89 / $8.89	Facility	26	$8.89	$8.89	$8.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $27.41 / $57.71	Professional		$19.69	$27.41	$57.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $8.89 / $19.69	Professional	26	$7.38	$8.89	$19.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.27 / $19.46 / $28.57	Professional	TC	$12.27	$19.46	$28.57
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.20 / $7.20 / $7.20	Facility	26	$7.20	$7.20	$7.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $69.64 / $84.46	Professional		$41.93	$69.64	$84.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $25.15 / $30.50	Professional	26	$15.14	$25.15	$30.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.47 / $44.49 / $53.96	Professional	TC	$30.47	$44.49	$53.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.23 / $29.21 / $71.83	Facility	26	$17.23	$29.21	$71.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $45.76 / $76.59	Professional		$30.07	$45.76	$76.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.53 / $16.11 / $27.19	Professional	26	$9.53	$16.11	$27.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.58 / $29.65 / $50.04	Professional	TC	$20.58	$29.65	$50.04
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $15.36 / $26.33 / $56.56	Facility	26	$15.36	$26.33	$56.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $42.65 / $72.73	Professional		$36.03	$42.65	$72.73
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.69 / $15.02 / $25.61	Professional	26	$12.69	$15.02	$25.61
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $23.35 / $27.63 / $47.13	Professional	TC	$23.35	$27.63	$47.13
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 $28.15 / $54.02 / $203.00	Professional		$28.15	$54.02	$203.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $17.22 / $84.21	Professional	26	$9.38	$17.22	$84.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $36.79 / $165.00	Professional	TC	$18.77	$36.79	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $48.66 / $85.83	Professional		$28.15	$48.66	$85.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $16.17 / $28.60	Professional	26	$9.18	$16.17	$28.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.38 / $34.03 / $58.12	Professional	TC	$18.38	$34.03	$58.12