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 / $13.85	Facility	26	$9.24	$9.24	$13.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.37 / $25.37 / $25.37	Facility	TC	$25.37	$25.37	$25.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $32.00 / $65.15	Professional		$24.48	$32.00	$65.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $9.32 / $35.20	Professional	26	$7.88	$9.32	$35.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $21.68 / $38.22	Professional	TC	$18.32	$21.68	$38.22
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 Facility Modifier TC Low / Median / High Price $21.30 / $21.30 / $21.30	Facility	TC	$21.30	$21.30	$21.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $95.76 / $116.14	Professional		$58.23	$95.76	$116.14
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 $46.82 / $69.64 / $84.46	Professional	TC	$46.82	$69.64	$84.46
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 Facility Modifier TC Low / Median / High Price $50.35 / $85.30 / $209.76	Facility	TC	$50.35	$85.30	$209.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $64.45 / $107.89	Professional		$33.44	$64.45	$107.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.58 / $16.76 / $28.05	Professional	26	$10.58	$16.76	$28.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.86 / $47.69 / $78.95	Professional	TC	$22.86	$47.69	$78.95
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 Facility Modifier TC Low / Median / High Price $44.84 / $76.88 / $165.16	Facility	TC	$44.84	$76.88	$165.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $60.07 / $102.45	Professional		$50.75	$60.07	$102.45
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 $37.56 / $44.45 / $75.81	Professional	TC	$37.56	$44.45	$75.81
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $160.69 / $228.13 / $427.25	Facility	TC	$160.69	$228.13	$427.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $55.99 / $182.28	Professional		$32.11	$55.99	$182.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $18.05 / $48.90	Professional	26	$9.74	$18.05	$48.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $37.99 / $151.32	Professional	TC	$22.38	$37.99	$151.32
United Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $53.36 / $97.93	Professional		$30.52	$53.36	$97.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $16.80 / $29.70	Professional	26	$9.74	$16.80	$29.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.26 / $36.47 / $68.23	Professional	TC	$21.26	$36.47	$68.23