Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $15.14 / $25.70	Facility	26	$14.79	$15.14	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $131.83	Professional		$34.67	$53.70	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $15.85 / $44.67	Professional	26	$7.94	$15.85	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $91.20	Professional	TC	$21.88	$30.90	$91.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $12.88 / $12.88	Facility	26	$11.22	$12.88	$12.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $154.88	Professional		$70.79	$104.71	$154.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $36.31 / $53.70	Professional	26	$24.55	$36.31	$53.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $70.79 / $100.00	Professional	TC	$45.71	$70.79	$100.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $45.71 / $125.89	Facility	26	$12.30	$45.71	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $134.90	Professional		$57.54	$83.18	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $26.30 / $43.65	Professional	26	$11.22	$26.30	$43.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $54.95 / $100.00	Professional	TC	$40.74	$54.95	$100.00
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $51.29 / $100.00	Facility	26	$40.74	$51.29	$100.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $102.33	Professional		$64.57	$64.57	$102.33
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $21.88 / $33.88	Professional	26	$21.88	$21.88	$33.88
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $42.66 / $72.44	Professional	TC	$42.66	$42.66	$72.44
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 $43.65 / $89.13 / $478.63	Professional		$43.65	$89.13	$478.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $25.12 / $213.80	Professional	26	$10.96	$25.12	$213.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $63.10 / $426.58	Professional	TC	$26.92	$63.10	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $138.04	Professional		$42.66	$81.28	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.62 / $45.71	Professional	26	$10.96	$18.62	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $58.88 / $95.50	Professional	TC	$26.92	$58.88	$95.50