Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.73 / $16.73 / $16.73	Facility	26	$16.73	$16.73	$16.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $45.87 / $81.50	Professional		$37.59	$45.87	$81.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.93 / $16.34 / $34.79	Professional	26	$13.93	$16.34	$34.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $29.29 / $59.86	Professional	TC	$23.51	$29.29	$59.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $13.52 / $13.52 / $13.52	Facility	26	$13.52	$13.52	$13.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $136.38 / $165.41	Professional		$80.95	$136.38	$165.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.53 / $47.39 / $57.48	Professional	26	$28.53	$47.39	$57.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.17 / $88.99 / $107.93	Professional	TC	$60.17	$88.99	$107.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.72 / $57.33 / $137.91	Facility	26	$36.72	$57.33	$137.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $89.59 / $149.63	Professional		$49.28	$89.59	$149.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.02 / $30.94 / $52.21	Professional	26	$17.02	$30.94	$52.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.61 / $58.65 / $97.08	Professional	TC	$31.61	$58.65	$97.08
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $31.83 / $50.55 / $108.60	Facility	26	$31.83	$50.55	$108.60
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $83.50 / $142.41	Professional		$70.54	$83.50	$142.41
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $24.36 / $28.83 / $49.18	Professional	26	$24.36	$28.83	$49.18
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $46.18 / $54.66 / $93.23	Professional	TC	$46.18	$54.66	$93.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $74.03 / $301.08	Professional		$46.56	$74.03	$301.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.68 / $30.38 / $104.20	Professional	26	$17.68	$30.38	$104.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.65 / $42.04 / $196.89	Professional	TC	$27.65	$42.04	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $71.68 / $145.41	Professional		$44.23	$71.68	$145.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.34 / $29.00 / $53.90	Professional	26	$17.34	$29.00	$53.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.69 / $38.28 / $88.05	Professional	TC	$26.69	$38.28	$88.05