Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $51.29 / $269.15	Facility		$5.62	$51.29	$269.15
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $7.08	Facility	26	$7.08	$7.08	$7.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.13 / $40.74	Professional		$9.77	$14.13	$40.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.51 / $32.36	Professional	26	$6.03	$8.51	$32.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $29.51 / $29.51	Professional	50	$11.48	$29.51	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.29 / $3.89 / $8.32	Professional	TC	$2.29	$3.89	$8.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $54.95 / $112.20	Facility		$32.36	$54.95	$112.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $6.46 / $6.46	Facility	26	$5.62	$6.46	$6.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.92 / $40.74	Professional		$18.62	$26.92	$40.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $18.20 / $27.54	Professional	26	$12.59	$18.20	$27.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.03 / $9.33 / $13.18	Professional	TC	$6.03	$9.33	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $39.81 / $95.50	Facility		$18.62	$39.81	$95.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.17 / $23.99 / $66.07	Facility	26	$6.17	$23.99	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $33.11	Professional		$13.49	$20.42	$33.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $22.39	Professional	26	$9.33	$14.13	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $6.46 / $10.23	Professional	TC	$3.98	$6.46	$10.23
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.90 / $75.86	Facility		$30.90	$38.90	$75.86
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $26.30 / $52.48	Facility	26	$21.38	$26.30	$52.48
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $29.51	Professional		$16.22	$16.22	$29.51
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $19.95	Professional	26	$11.22	$11.22	$19.95
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $5.13 / $5.13 / $9.12	Professional	TC	$5.13	$5.13	$9.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $19.05 / $33.88	Facility		$10.96	$19.05	$33.88
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 $11.75 / $22.91 / $1,412.54	Professional		$11.75	$22.91	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $15.14 / $1,288.25	Professional	26	$8.32	$15.14	$1,288.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.63 / $7.59 / $977.24	Professional	TC	$3.63	$7.59	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $74.13 / $102.33	Facility		$72.44	$74.13	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $21.88 / $35.48	Professional		$12.30	$21.88	$35.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $14.79 / $24.55	Professional	26	$8.32	$14.79	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.80 / $7.24 / $11.75	Professional	TC	$3.80	$7.24	$11.75