Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $107.15	Professional		$22.91	$34.67	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $30.20	Professional	26	$7.08	$10.00	$30.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $33.88 / $54.95	Professional	52	$30.20	$33.88	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $22.91 / $57.54	Professional	TC	$15.14	$22.91	$57.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $7.94 / $7.94	Facility	26	$6.92	$7.94	$7.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $104.71	Professional		$47.86	$69.18	$104.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $21.88 / $32.36	Professional	26	$14.79	$21.88	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $51.29 / $72.44	Professional	TC	$33.11	$51.29	$72.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $28.18 / $77.62	Facility	26	$7.41	$28.18	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $87.10	Professional		$37.15	$54.95	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.60 / $26.92	Professional	26	$10.72	$16.60	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.90 / $63.10	Professional	TC	$25.70	$38.90	$63.10
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $31.62 / $61.66	Facility	26	$25.12	$31.62	$61.66
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $69.18	Professional		$43.65	$43.65	$69.18
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $13.18 / $21.88	Professional	26	$13.18	$13.18	$21.88
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $30.20 / $47.86	Professional	TC	$30.20	$30.20	$47.86
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 $31.62 / $57.54 / $213.80	Professional		$31.62	$57.54	$213.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $18.62 / $79.43	Professional	26	$9.77	$18.62	$79.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $39.81 / $204.17	Professional	TC	$21.88	$39.81	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $93.33	Professional		$31.62	$56.23	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $16.98 / $28.18	Professional	26	$9.77	$16.98	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $39.81 / $66.07	Professional	TC	$21.88	$39.81	$66.07