Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.14 / $22.91	Facility	26	$15.14	$15.14	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $38.90 / $95.50	Professional		$17.38	$38.90	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $18.20 / $48.98	Professional	26	$10.00	$18.20	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $25.12 / $69.18	Professional	TC	$10.96	$25.12	$69.18
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $12.30 / $12.30	Facility	26	$10.72	$12.30	$12.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $154.88	Professional		$70.79	$102.33	$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 / $69.18 / $100.00	Professional	TC	$45.71	$69.18	$100.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $47.86 / $131.83	Facility	26	$12.30	$47.86	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $72.44 / $128.82	Professional		$25.70	$72.44	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $25.70 / $44.67	Professional	26	$10.23	$25.70	$44.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $48.98 / $85.11	Professional	TC	$15.85	$48.98	$85.11
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $52.48 / $104.71	Facility	26	$42.66	$52.48	$104.71
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $102.33	Professional		$66.07	$66.07	$102.33
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $22.39 / $34.67	Professional	26	$22.39	$22.39	$34.67
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $42.66 / $67.61	Professional	TC	$42.66	$42.66	$67.61
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 $23.44 / $57.54 / $741.31	Professional		$23.44	$57.54	$741.31
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $28.18 / $95.50	Professional	26	$10.72	$28.18	$95.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $33.11 / $724.44	Professional	TC	$12.59	$33.11	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $51.29 / $131.83	Professional		$24.55	$51.29	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $18.20 / $46.77	Professional	26	$10.23	$18.20	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $33.11 / $85.11	Professional	TC	$12.88	$33.11	$85.11