Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.66 / $15.66 / $15.66	Facility	26	$15.66	$15.66	$15.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $50.59 / $94.82	Professional		$40.89	$50.59	$94.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.15 / $15.66 / $35.60	Professional	26	$13.15	$15.66	$35.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.80 / $34.54 / $64.18	Professional	TC	$27.80	$34.54	$64.18
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.66 / $12.66 / $12.66	Facility	26	$12.66	$12.66	$12.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $145.09 / $175.97	Professional		$87.35	$145.09	$175.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $43.53 / $52.79	Professional	26	$26.78	$43.53	$52.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.34 / $101.56 / $123.18	Professional	TC	$66.34	$101.56	$123.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.35 / $51.41 / $126.43	Facility	26	$30.35	$51.41	$126.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $97.32 / $161.10	Professional		$51.26	$97.32	$161.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.18 / $29.00 / $48.95	Professional	26	$17.18	$29.00	$48.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.99 / $68.31 / $114.36	Professional	TC	$33.99	$68.31	$114.36
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $27.02 / $46.34 / $99.55	Facility	26	$27.02	$46.34	$99.55
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $90.71 / $154.69	Professional		$76.63	$90.71	$154.69
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.84 / $27.03 / $46.10	Professional	26	$22.84	$27.03	$46.10
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $53.80 / $63.67 / $108.60	Professional	TC	$53.80	$63.67	$108.60
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 $49.08 / $83.99 / $321.19	Professional		$49.08	$83.99	$321.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $29.62 / $128.79	Professional	26	$16.23	$29.62	$128.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.84 / $55.39 / $254.00	Professional	TC	$32.84	$55.39	$254.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $81.05 / $149.63	Professional		$49.08	$81.05	$149.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $28.06 / $49.51	Professional	26	$16.23	$28.06	$49.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.82 / $52.07 / $100.12	Professional	TC	$31.82	$52.07	$100.12