Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.34 / $11.34 / $19.27	Facility	26	$11.34	$11.34	$19.27
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.50 / $27.50 / $349.05	Facility	TC	$27.50	$27.50	$349.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $38.84 / $201.40	Professional		$30.19	$38.84	$201.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $11.90 / $47.20	Professional	26	$9.97	$11.90	$47.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $26.77 / $72.09	Professional	TC	$19.89	$26.77	$72.09
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.21 / $9.21 / $9.21	Facility	26	$9.21	$9.21	$9.21
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $22.75 / $22.75 / $22.75	Facility	TC	$22.75	$22.75	$22.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $106.39 / $129.04	Professional		$64.64	$106.39	$129.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.22 / $30.95 / $37.54	Professional	26	$19.22	$30.95	$37.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.44 / $75.44 / $91.50	Professional	TC	$53.44	$75.44	$91.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $36.22 / $89.07	Facility	26	$21.38	$36.22	$89.07
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $54.49 / $92.31 / $227.00	Facility	TC	$54.49	$92.31	$227.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $71.54 / $119.75	Professional		$37.40	$71.54	$119.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $20.62 / $34.52	Professional	26	$12.95	$20.62	$34.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.76 / $50.92 / $84.28	Professional	TC	$24.76	$50.92	$84.28
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.04 / $32.65 / $70.14	Facility	26	$19.04	$32.65	$70.14
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $48.52 / $83.19 / $178.74	Facility	TC	$48.52	$83.19	$178.74
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $66.68 / $113.72	Professional		$56.33	$66.68	$113.72
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $19.22 / $32.78	Professional	26	$16.23	$19.22	$32.78
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $40.09 / $47.46 / $80.94	Professional	TC	$40.09	$47.46	$80.94
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $219.29 / $312.81 / $418.03	Facility	TC	$219.29	$312.81	$418.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $72.16 / $216.06	Professional		$36.45	$72.16	$216.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $24.44 / $59.79	Professional	26	$13.11	$24.44	$59.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.20 / $40.79 / $166.53	Professional	TC	$24.20	$40.79	$166.53
United Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $60.59 / $112.87	Professional		$36.45	$60.59	$112.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $20.63 / $36.31	Professional	26	$11.91	$20.63	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.31 / $37.82 / $74.81	Professional	TC	$23.31	$37.82	$74.81