Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.32 / $15.32 / $15.32	Facility	26	$15.32	$15.32	$15.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $36.57 / $81.43	Professional		$17.14	$36.57	$81.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $15.32 / $41.83	Professional	26	$7.03	$15.32	$41.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $23.08 / $52.52	Professional	TC	$10.11	$23.08	$52.52
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 $75.12 / $123.81 / $150.16	Professional		$75.12	$123.81	$150.16
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 $54.98 / $80.28 / $97.37	Professional	TC	$54.98	$80.28	$97.37
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 $27.32 / $83.14 / $137.44	Professional		$27.32	$83.14	$137.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $28.36 / $46.88	Professional	26	$10.80	$28.36	$46.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.50 / $54.78 / $90.57	Professional	TC	$16.50	$54.78	$90.57
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 $65.47 / $77.48 / $132.16	Professional		$65.47	$77.48	$132.16
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 $43.14 / $51.06 / $87.08	Professional	TC	$43.14	$51.06	$87.08
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 $23.18 / $54.12 / $738.38	Professional		$23.18	$54.12	$738.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $25.83 / $95.54	Professional	26	$11.20	$25.83	$95.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $12.67 / $32.94 / $724.28	Professional	TC	$12.67	$32.94	$724.28
United Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $52.02 / $133.13	Professional		$23.16	$52.02	$133.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $17.98 / $49.51	Professional	26	$10.47	$17.98	$49.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.83 / $32.90 / $83.63	Professional	TC	$11.83	$32.90	$83.63