Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $51.55 / $268.13	Facility		$11.52	$51.55	$268.13
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.85 / $7.85 / $7.85	Facility	26	$7.85	$7.85	$7.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $13.27 / $75.29	Professional		$9.94	$13.27	$75.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $8.11 / $18.20	Professional	26	$6.71	$8.11	$18.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $11.36 / $11.36	Professional	50	$11.36	$11.36	$11.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.91 / $3.78 / $5.64	Professional	TC	$2.91	$3.78	$5.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $55.32 / $105.86	Facility		$28.26	$55.32	$105.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.33 / $6.33 / $6.33	Facility	26	$6.33	$6.33	$6.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $29.84 / $39.89	Professional		$18.63	$29.84	$39.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.40 / $20.18 / $26.98	Professional	26	$13.40	$20.18	$26.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.79 / $10.23 / $12.90	Professional	TC	$6.79	$10.23	$12.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $38.22 / $91.95	Facility		$24.49	$38.22	$91.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.84 / $26.28 / $63.21	Facility	26	$16.84	$26.28	$63.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $20.62 / $34.10	Professional		$15.30	$20.62	$34.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $14.18 / $23.44	Professional	26	$10.35	$14.18	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.75 / $6.45 / $10.65	Professional	TC	$4.75	$6.45	$10.65
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $33.70 / $72.40	Facility		$21.22	$33.70	$72.40
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $14.59 / $23.17 / $49.78	Facility	26	$14.59	$23.17	$49.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $16.23 / $31.52	Professional		$16.23	$16.23	$31.52
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $11.17 / $21.01	Professional	26	$11.17	$11.17	$21.01
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $5.08 / $5.08 / $9.55	Professional	TC	$5.08	$5.08	$9.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $19.50 / $33.79	Facility		$11.73	$19.50	$33.79
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 $12.62 / $24.16 / $1,428.44	Professional		$12.62	$24.16	$1,428.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $16.27 / $1,274.28	Professional	26	$9.11	$16.27	$1,274.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.97 / $8.11 / $988.10	Professional	TC	$3.97	$8.11	$988.10
United Facility/Professional Facility Modifier Low / Median / High Price $59.06 / $64.01 / $81.04	Facility		$59.06	$64.01	$81.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $24.16 / $40.85	Professional		$12.62	$24.16	$40.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $14.97 / $27.63	Professional	26	$8.60	$14.97	$27.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.97 / $7.68 / $13.51	Professional	TC	$3.97	$7.68	$13.51