Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.83 / $7.83 / $11.74	Facility	26	$7.83	$7.83	$11.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $29.28 / $78.70	Professional		$19.61	$29.28	$78.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $8.11 / $28.80	Professional	26	$6.71	$8.11	$28.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.64 / $91.64 / $91.64	Professional	50	$91.64	$91.64	$91.64
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.04 / $14.55 / $21.56	Professional	52	$11.04	$14.55	$21.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $22.17 / $71.20	Professional	TC	$16.82	$22.17	$71.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.33 / $6.33 / $6.33	Facility	26	$6.33	$6.33	$6.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $83.18 / $100.89	Professional		$49.50	$83.18	$100.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.40 / $22.25 / $26.98	Professional	26	$13.40	$22.25	$26.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.92 / $60.94 / $73.91	Professional	TC	$39.92	$60.94	$73.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.17 / $25.71 / $63.21	Facility	26	$15.17	$25.71	$63.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $54.78 / $90.68	Professional		$30.00	$54.78	$90.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.55 / $14.18 / $23.93	Professional	26	$8.55	$14.18	$23.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.70 / $40.61 / $67.20	Professional	TC	$20.70	$40.61	$67.20
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $13.51 / $23.17 / $49.78	Facility	26	$13.51	$23.17	$49.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $51.06 / $87.08	Professional		$43.14	$51.06	$87.08
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $13.22 / $22.54	Professional	26	$11.17	$13.22	$22.54
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $31.97 / $37.84 / $64.54	Professional	TC	$31.97	$37.84	$64.54
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 $28.51 / $51.57 / $184.96	Professional		$28.51	$51.57	$184.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $15.81 / $67.13	Professional	26	$8.30	$15.81	$67.13
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $39.79 / $39.79 / $39.79	Professional	52	$39.79	$39.79	$39.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.21 / $35.40 / $149.00	Professional	TC	$20.21	$35.40	$149.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $47.72 / $86.93	Professional		$28.51	$47.72	$86.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $14.09 / $25.31	Professional	26	$8.15	$14.09	$25.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.21 / $34.36 / $61.62	Professional	TC	$20.21	$34.36	$61.62