Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.58 / $9.58 / $9.58	Facility	26	$9.58	$9.58	$9.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $65.34 / $542.45	Professional		$23.17	$65.34	$542.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $9.58 / $83.00	Professional	26	$8.83	$9.58	$83.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.81 / $30.45 / $192.00	Professional	TC	$13.81	$30.45	$192.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.77 / $7.77 / $7.77	Facility	26	$7.77	$7.77	$7.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $72.54 / $87.98	Professional		$44.84	$72.54	$87.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $27.08 / $32.85	Professional	26	$16.30	$27.08	$32.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.37 / $45.46 / $55.14	Professional	TC	$31.37	$45.46	$55.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.66 / $32.25 / $77.58	Facility	26	$20.66	$32.25	$77.58
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $5.59 / $5.59 / $5.59	Facility	53	$5.59	$5.59	$5.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $48.98 / $104.58	Professional		$34.56	$48.98	$104.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $17.39 / $29.36	Professional	26	$10.78	$17.39	$29.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.56 / $31.58 / $80.28	Professional	TC	$20.56	$31.58	$80.28
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $17.91 / $28.43 / $61.09	Facility	26	$17.91	$28.43	$61.09
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $45.65 / $77.86	Professional		$38.57	$45.65	$77.86
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $16.22 / $27.66	Professional	26	$13.70	$16.22	$27.66
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $24.87 / $29.43 / $50.20	Professional	TC	$24.87	$29.43	$50.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $57.74 / $761.56	Professional		$25.82	$57.74	$761.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $19.84 / $132.00	Professional	26	$10.84	$19.84	$132.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.69 / $26.63 / $705.08	Professional	TC	$14.69	$26.63	$705.08
United Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $43.86 / $95.88	Professional		$23.46	$43.86	$95.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.08 / $16.75 / $31.71	Professional	26	$10.08	$16.75	$31.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.35 / $25.20 / $58.86	Professional	TC	$13.35	$25.20	$58.86