Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.45 / $13.45 / $13.45	Facility	26	$13.45	$13.45	$13.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $59.42 / $307.80	Professional		$43.75	$59.42	$307.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $13.45 / $36.49	Professional	26	$11.40	$13.45	$36.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $42.09 / $102.33	Professional	TC	$34.14	$42.09	$102.33
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.94 / $10.94 / $10.94	Facility	26	$10.94	$10.94	$10.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.99 / $174.10 / $211.16	Professional		$105.99	$174.10	$211.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.29 / $37.72 / $45.75	Professional	26	$23.29	$37.72	$45.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.10 / $136.38 / $165.41	Professional	TC	$94.10	$136.38	$165.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.21 / $44.40 / $109.19	Facility	26	$26.21	$44.40	$109.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $118.59 / $196.30	Professional		$58.39	$118.59	$196.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.02 / $25.14 / $42.08	Professional	26	$16.02	$25.14	$42.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.14 / $93.46 / $154.49	Professional	TC	$43.14	$93.46	$154.49
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $23.34 / $40.02 / $85.98	Facility	26	$23.34	$40.02	$85.98
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $110.53 / $188.51	Professional		$93.38	$110.53	$188.51
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.79 / $23.43 / $39.96	Professional	26	$19.79	$23.43	$39.96
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $73.59 / $87.10 / $148.55	Professional	TC	$73.59	$87.10	$148.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $97.47 / $309.69	Professional		$56.66	$97.47	$309.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $25.62 / $83.23	Professional	26	$14.07	$25.62	$83.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.84 / $70.45 / $296.70	Professional	TC	$41.84	$70.45	$296.70
United Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $96.85 / $175.45	Professional		$56.66	$96.85	$175.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $24.33 / $43.57	Professional	26	$14.07	$24.33	$43.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.79 / $68.47 / $129.85	Professional	TC	$41.79	$68.47	$129.85