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 / $21.88	Facility	26	$8.91	$8.91	$21.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $25.12 / $42.66	Facility	TC	$25.12	$25.12	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $34.67 / $109.65	Professional		$17.38	$34.67	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $33.11	Professional	26	$7.94	$12.02	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.99 / $57.54	Professional	TC	$18.20	$23.99	$57.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $7.76 / $7.76	Facility	26	$6.61	$7.76	$7.76
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $19.50 / $22.39 / $22.39	Facility	TC	$19.50	$22.39	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $120.23	Professional		$54.95	$79.43	$120.23
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 $39.81 / $60.26 / $87.10	Professional	TC	$39.81	$60.26	$87.10
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 Facility Modifier TC Low / Median / High Price $19.05 / $79.43 / $218.78	Facility	TC	$19.05	$79.43	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $102.33	Professional		$32.36	$58.88	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.60 / $26.92	Professional	26	$10.23	$16.60	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $42.66 / $75.86	Professional	TC	$22.39	$42.66	$75.86
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 Facility Modifier TC Low / Median / High Price $70.79 / $87.10 / $173.78	Facility	TC	$70.79	$87.10	$173.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $79.43	Professional		$51.29	$51.29	$79.43
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $13.18 / $20.42	Professional	26	$13.18	$13.18	$20.42
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $37.15 / $58.88	Professional	TC	$37.15	$37.15	$58.88
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $162.18 / $229.09 / $426.58	Facility	TC	$162.18	$229.09	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $208.93	Professional		$30.20	$53.70	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $18.62 / $51.29	Professional	26	$9.77	$18.62	$51.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $34.67 / $151.36	Professional	TC	$20.42	$34.67	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $100.00	Professional		$30.20	$51.29	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $16.22 / $28.18	Professional	26	$9.33	$16.22	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $35.48 / $74.13	Professional	TC	$21.38	$35.48	$74.13