Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.12 / $25.12	Facility	26	$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $154.88	Professional		$50.12	$64.57	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.70 / $112.20	Professional	26	$19.95	$25.70	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $38.90 / $112.20	Professional	TC	$30.90	$38.90	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $275.42	Professional		$131.83	$199.53	$275.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $67.61 / $93.33	Professional	26	$44.67	$67.61	$93.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $141.25 / $181.97	Professional	TC	$87.10	$141.25	$181.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $199.53 / $239.88	Facility	26	$42.66	$199.53	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $177.83	Professional		$102.33	$128.82	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $42.66 / $60.26	Professional	26	$33.88	$42.66	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $85.11 / $120.23	Professional	TC	$67.61	$85.11	$120.23
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $190.55 / $190.55	Facility	26	$33.11	$190.55	$190.55
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $194.98	Professional		$100.00	$100.00	$194.98
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $33.11 / $79.43	Professional	26	$33.11	$33.11	$79.43
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $67.61 / $114.82	Professional	TC	$67.61	$67.61	$114.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $134.90 / $426.58	Professional		$45.71	$134.90	$426.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $57.54 / $213.80	Professional	26	$18.20	$57.54	$213.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $79.43 / $275.42	Professional	TC	$23.99	$79.43	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $251.19	Professional		$60.26	$138.04	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $53.70 / $91.20	Professional	26	$23.99	$53.70	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $83.18 / $162.18	Professional	TC	$36.31	$83.18	$162.18