Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $12.88	Facility	26	$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $154.88	Professional		$38.90	$64.57	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.14 / $43.65	Professional	26	$10.96	$15.14	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $46.77 / $125.89	Professional	TC	$33.88	$46.77	$125.89
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $11.22 / $11.22	Facility	26	$9.77	$11.22	$11.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $218.78	Professional		$100.00	$144.54	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $31.62 / $47.86	Professional	26	$21.88	$31.62	$47.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $117.49 / $169.82	Professional	TC	$77.62	$117.49	$169.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $41.69 / $114.82	Facility	26	$10.96	$41.69	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $190.55	Professional		$57.54	$107.15	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $25.12 / $39.81	Professional	26	$15.49	$25.12	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $83.18 / $147.91	Professional	TC	$41.69	$83.18	$147.91
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $45.71 / $89.13	Facility	26	$37.15	$45.71	$89.13
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $144.54	Professional		$93.33	$93.33	$144.54
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $19.95 / $30.90	Professional	26	$19.95	$19.95	$30.90
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $74.13 / $114.82	Professional	TC	$74.13	$74.13	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $380.19	Professional		$53.70	$97.72	$380.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $25.12 / $83.18	Professional	26	$14.13	$25.12	$83.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $66.07 / $295.12	Professional	TC	$38.02	$66.07	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $186.21	Professional		$53.70	$89.13	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $23.99 / $40.74	Professional	26	$13.80	$23.99	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $66.07 / $141.25	Professional	TC	$40.74	$66.07	$141.25