Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.31 / $15.31 / $26.02	Facility	26	$15.31	$15.31	$26.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $55.15 / $82.33	Professional		$34.04	$55.15	$82.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.86 / $15.03 / $24.23	Professional	26	$12.86	$15.03	$24.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.10 / $27.86 / $51.77	Professional	TC	$21.10	$27.86	$51.77
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.37 / $12.37 / $12.37	Facility	26	$12.37	$12.37	$12.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $119.93 / $145.46	Professional		$72.20	$119.93	$145.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.21 / $43.53 / $52.79	Professional	26	$26.21	$43.53	$52.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.37 / $76.41 / $92.67	Professional	TC	$51.37	$76.41	$92.67
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 $54.47 / $79.92 / $133.78	Professional		$54.47	$79.92	$133.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $28.36 / $47.86	Professional	26	$17.05	$28.36	$47.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.08 / $51.56 / $87.55	Professional	TC	$33.08	$51.56	$87.55
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 $62.93 / $74.48 / $127.04	Professional		$62.93	$74.48	$127.04
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.33 / $26.43 / $45.08	Professional	26	$22.33	$26.43	$45.08
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $40.60 / $48.06 / $81.96	Professional	TC	$40.60	$48.06	$81.96
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 $41.91 / $75.50 / $390.88	Professional		$41.91	$75.50	$390.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $29.62 / $103.00	Professional	26	$16.23	$29.62	$103.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $44.99 / $301.75	Professional	TC	$24.54	$44.99	$301.75
United Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $72.39 / $126.27	Professional		$40.78	$72.39	$126.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.95 / $26.43 / $49.51	Professional	26	$15.95	$26.43	$49.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.20 / $41.43 / $75.98	Professional	TC	$24.20	$41.43	$75.98