Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.19 / $8.19 / $8.19	Facility	26	$8.19	$8.19	$8.19
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.52 / $22.52 / $22.52	Facility	TC	$22.52	$22.52	$22.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $29.44 / $56.23	Professional		$23.90	$29.44	$56.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.81 / $8.19 / $17.02	Professional	26	$6.81	$8.19	$17.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.09 / $20.75 / $36.22	Professional	TC	$17.09	$20.75	$36.22
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $6.61 / $6.61	Facility	26	$6.61	$6.61	$6.61
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $18.71 / $18.71 / $18.71	Facility	TC	$18.71	$18.71	$18.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $85.11 / $103.23	Professional		$51.82	$85.11	$103.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $23.21 / $28.15	Professional	26	$13.97	$23.21	$28.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.71 / $61.90 / $75.08	Professional	TC	$42.71	$61.90	$75.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.86 / $26.87 / $66.09	Facility	26	$15.86	$26.87	$66.09
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $44.83 / $75.95 / $186.77	Facility	TC	$44.83	$75.95	$186.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $57.36 / $96.02	Professional		$31.47	$57.36	$96.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.40 / $14.82 / $24.81	Professional	26	$9.40	$14.82	$24.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.95 / $42.54 / $71.20	Professional	TC	$21.95	$42.54	$71.20
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $24.22 / $52.04	Facility	26	$14.13	$24.22	$52.04
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $39.92 / $68.45 / $147.06	Facility	TC	$39.92	$68.45	$147.06
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $53.46 / $91.18	Professional		$45.17	$53.46	$91.18
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.67 / $13.82 / $23.56	Professional	26	$11.67	$13.82	$23.56
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $33.50 / $39.65 / $67.62	Professional	TC	$33.50	$39.65	$67.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $51.76 / $149.24	Professional		$29.59	$51.76	$149.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $15.23 / $42.93	Professional	26	$8.66	$15.23	$42.93
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $36.65 / $136.11	Professional	TC	$20.93	$36.65	$136.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $47.05 / $90.21	Professional		$28.11	$47.05	$90.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $14.96 / $26.40	Professional	26	$8.66	$14.96	$26.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $33.68 / $63.81	Professional	TC	$20.93	$33.68	$63.81