Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.53 / $8.53 / $8.53	Facility	26	$8.53	$8.53	$8.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $37.53 / $72.44	Professional		$30.51	$37.53	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.16 / $8.53 / $20.26	Professional	26	$7.16	$8.53	$20.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $27.74 / $63.17	Professional	TC	$22.26	$27.74	$63.17
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $6.90 / $6.90	Facility	26	$6.90	$6.90	$6.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.88 / $116.06 / $140.77	Professional		$69.88	$116.06	$140.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $23.21 / $28.15	Professional	26	$14.56	$23.21	$28.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.65 / $92.86 / $112.62	Professional	TC	$60.65	$92.86	$112.62
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 Professional Modifier Low / Median / High Price $35.72 / $77.34 / $128.02	Professional		$35.72	$77.34	$128.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.80 / $15.47 / $25.89	Professional	26	$9.80	$15.47	$25.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.00 / $61.87 / $102.42	Professional	TC	$27.00	$61.87	$102.42
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 Professional Modifier Low / Median / High Price $60.90 / $72.08 / $122.94	Professional		$60.90	$72.08	$122.94
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $14.42 / $24.59	Professional	26	$12.18	$14.42	$24.59
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $48.72 / $57.67 / $98.35	Professional	TC	$48.72	$57.67	$98.35
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $67.45 / $260.95	Professional		$38.35	$67.45	$260.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $16.23 / $83.63	Professional	26	$9.02	$16.23	$83.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.63 / $50.91 / $207.72	Professional	TC	$29.63	$50.91	$207.72
United Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $58.00 / $119.94	Professional		$37.24	$58.00	$119.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $16.69 / $66.40	Professional	26	$9.02	$16.69	$66.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.22 / $54.81 / $154.51	Professional	TC	$30.22	$54.81	$154.51