Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.48 / $7.48 / $7.48	Facility	26	$7.48	$7.48	$7.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.05 / $15.05 / $15.05	Facility	TC	$15.05	$15.05	$15.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $22.54 / $42.40	Professional		$17.96	$22.54	$42.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.26 / $7.48 / $43.00	Professional	26	$6.26	$7.48	$43.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.47 / $14.78 / $21.12	Professional	TC	$11.47	$14.78	$21.12
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.04 / $6.04 / $6.04	Facility	26	$6.04	$6.04	$6.04
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $12.37 / $12.37 / $12.37	Facility	TC	$12.37	$12.37	$12.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $62.87 / $76.25	Professional		$37.85	$62.87	$76.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.81 / $21.28 / $25.81	Professional	26	$12.81	$21.28	$25.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.14 / $41.59 / $50.44	Professional	TC	$29.14	$41.59	$50.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.48 / $24.54 / $60.34	Facility	26	$14.48	$24.54	$60.34
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.66 / $50.24 / $123.56	Facility	TC	$29.66	$50.24	$123.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $41.25 / $68.28	Professional		$26.15	$41.25	$68.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $13.54 / $22.84	Professional	26	$8.24	$13.54	$22.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $27.71 / $46.39	Professional	TC	$17.39	$27.71	$46.39
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $12.90 / $22.12 / $47.51	Facility	26	$12.90	$22.12	$47.51
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $26.41 / $45.28 / $97.29	Facility	TC	$26.41	$45.28	$97.29
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $38.44 / $65.56	Professional		$32.47	$38.44	$65.56
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $10.66 / $12.61 / $21.51	Professional	26	$10.66	$12.61	$21.51
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $21.82 / $25.83 / $44.05	Professional	TC	$21.82	$25.83	$44.05
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 Facility Modifier TC Low / Median / High Price $100.00 / $195.82 / $251.38	Facility	TC	$100.00	$195.82	$251.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $41.63 / $172.00	Professional		$22.23	$41.63	$172.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $15.13 / $72.64	Professional	26	$7.94	$15.13	$72.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.68 / $26.76 / $148.00	Professional	TC	$14.68	$26.76	$148.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $38.47 / $67.04	Professional		$21.65	$38.47	$67.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.70 / $24.21	Professional	26	$7.94	$13.70	$24.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.71 / $24.96 / $41.80	Professional	TC	$13.71	$24.96	$41.80