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 / $16.19	Facility	26	$9.58	$9.58	$16.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $56.74 / $186.55	Professional		$32.43	$56.74	$186.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.68 / $10.11 / $76.50	Professional	26	$8.68	$10.11	$76.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.25 / $38.72 / $186.01	Professional	TC	$24.25	$38.72	$186.01
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 $68.70 / $113.16 / $137.25	Professional		$68.70	$113.16	$137.25
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 $60.03 / $86.09 / $104.41	Professional	TC	$60.03	$86.09	$104.41
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 Professional Modifier Low / Median / High Price $54.12 / $76.05 / $153.53	Professional		$54.12	$76.05	$153.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $17.39 / $29.55	Professional	26	$11.06	$17.39	$29.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.12 / $58.65 / $118.40	Professional	TC	$42.12	$58.65	$118.40
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 $59.89 / $70.88 / $120.89	Professional		$59.89	$70.88	$120.89
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 $46.18 / $54.66 / $93.23	Professional	TC	$46.18	$54.66	$93.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $87.56 / $539.95	Professional		$45.87	$87.56	$539.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.12 / $21.75 / $109.51	Professional	26	$11.12	$21.75	$109.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.95 / $59.54 / $492.53	Professional	TC	$32.95	$59.54	$492.53
United Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $78.16 / $133.37	Professional		$40.06	$78.16	$133.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $16.35 / $30.82	Professional	26	$10.10	$16.35	$30.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.95 / $58.32 / $103.63	Professional	TC	$29.95	$58.32	$103.63