Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.24 / $9.24 / $9.24	Facility	26	$9.24	$9.24	$9.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $34.52 / $51.34	Professional		$23.59	$34.52	$51.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $9.44 / $19.19	Professional	26	$7.88	$9.44	$19.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.71 / $14.99 / $21.41	Professional	52	$11.71	$14.99	$21.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.82 / $24.57 / $32.60	Professional	TC	$15.82	$24.57	$32.60
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.49 / $7.49 / $7.49	Facility	26	$7.49	$7.49	$7.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $84.15 / $102.06	Professional		$50.66	$84.15	$102.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.73 / $26.11 / $31.67	Professional	26	$15.73	$26.11	$31.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.02 / $58.04 / $70.39	Professional	TC	$40.02	$58.04	$70.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.93 / $30.38 / $74.70	Facility	26	$17.93	$30.38	$74.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $55.43 / $92.78	Professional		$37.86	$55.43	$92.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.16 / $16.76 / $28.28	Professional	26	$11.16	$16.76	$28.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.32 / $38.67 / $64.73	Professional	TC	$26.32	$38.67	$64.73
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $15.97 / $27.38 / $58.83	Facility	26	$15.97	$27.38	$58.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $51.66 / $88.11	Professional		$43.65	$51.66	$88.11
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.20 / $15.62 / $26.64	Professional	26	$13.20	$15.62	$26.64
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $30.45 / $36.04 / $61.47	Professional	TC	$30.45	$36.04	$61.47
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 $33.04 / $61.91 / $216.00	Professional		$33.04	$61.91	$216.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $18.98 / $79.26	Professional	26	$9.74	$18.98	$79.26
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.73 / $43.16 / $205.00	Professional	TC	$22.73	$43.16	$205.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $57.17 / $96.83	Professional		$31.76	$57.17	$96.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $19.48 / $87.90	Professional	26	$9.74	$19.48	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $40.29 / $67.13	Professional	TC	$22.02	$40.29	$67.13