Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.43 / $6.43 / $10.93	Facility	26	$6.43	$6.43	$10.93
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.30 / $24.30 / $284.95	Facility	TC	$24.30	$24.30	$284.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $31.15 / $132.00	Professional		$22.84	$31.15	$132.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.53 / $6.45 / $29.45	Professional	26	$5.53	$6.45	$29.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.43 / $24.17 / $63.19	Professional	TC	$18.43	$24.17	$63.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $5.18 / $5.18 / $5.18	Facility	26	$5.18	$5.18	$5.18
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $19.57 / $19.57 / $19.57	Facility	TC	$19.57	$19.57	$19.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $85.11 / $103.23	Professional		$50.66	$85.11	$103.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $18.38 / $22.29	Professional	26	$11.07	$18.38	$22.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.70 / $66.73 / $80.94	Professional	TC	$45.70	$66.73	$80.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.42 / $21.03 / $51.72	Facility	26	$12.42	$21.03	$51.72
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $48.28 / $81.79 / $201.14	Facility	TC	$48.28	$81.79	$201.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $56.07 / $92.82	Professional		$29.35	$56.07	$92.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $11.60 / $19.57	Professional	26	$7.02	$11.60	$19.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.70 / $44.47 / $73.89	Professional	TC	$22.70	$44.47	$73.89
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $11.06 / $18.96 / $40.72	Facility	26	$11.06	$18.96	$40.72
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $42.99 / $73.72 / $158.38	Facility	TC	$42.99	$73.72	$158.38
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $52.26 / $89.13	Professional		$44.15	$52.26	$89.13
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $10.81 / $18.44	Professional	26	$9.14	$10.81	$18.44
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $35.02 / $41.45 / $70.69	Professional	TC	$35.02	$41.45	$70.69
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 Facility Modifier TC Low / Median / High Price $156.63 / $226.32 / $314.86	Facility	TC	$156.63	$226.32	$314.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $56.33 / $187.25	Professional		$28.51	$56.33	$187.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $13.69 / $54.49	Professional	26	$7.28	$13.69	$54.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $39.01 / $146.99	Professional	TC	$21.65	$39.01	$146.99
United Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $50.18 / $90.71	Professional		$28.51	$50.18	$90.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.86 / $11.90 / $20.91	Professional	26	$6.86	$11.90	$20.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $36.50 / $66.01	Professional	TC	$21.65	$36.50	$66.01