Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $7.94	Facility	26	$7.94	$7.94	$7.94
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.88 / $21.88 / $21.88	Facility	TC	$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $87.10	Professional		$20.89	$30.20	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.00 / $33.11	Professional	26	$6.46	$10.00	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $51.29	Professional	TC	$15.85	$21.88	$51.29
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $6.76 / $6.76	Facility	26	$5.89	$6.76	$6.76
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $16.60 / $19.05 / $19.05	Facility	TC	$16.60	$19.05	$19.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $104.71	Professional		$48.98	$70.79	$104.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $19.05 / $28.84	Professional	26	$13.18	$19.05	$28.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $53.70 / $77.62	Professional	TC	$35.48	$53.70	$77.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $25.12 / $69.18	Facility	26	$6.46	$25.12	$69.18
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.98 / $70.79 / $194.98	Facility	TC	$16.98	$70.79	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $56.23 / $91.20	Professional		$30.20	$56.23	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.79 / $23.44	Professional	26	$9.12	$14.79	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $40.74 / $67.61	Professional	TC	$21.38	$40.74	$67.61
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $27.54 / $54.95	Facility	26	$22.39	$27.54	$54.95
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $63.10 / $77.62 / $154.88	Facility	TC	$63.10	$77.62	$154.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $70.79	Professional		$44.67	$44.67	$70.79
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $11.75 / $18.20	Professional	26	$11.75	$11.75	$18.20
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $33.88 / $52.48	Professional	TC	$33.88	$33.88	$52.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $186.21	Professional		$28.18	$47.86	$186.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.79 / $51.29	Professional	26	$8.51	$14.79	$51.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $33.11 / $134.90	Professional	TC	$19.50	$33.11	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $91.20	Professional		$28.18	$47.86	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $14.45 / $25.12	Professional	26	$8.32	$14.45	$25.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $33.88 / $66.07	Professional	TC	$19.95	$33.88	$66.07