Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.08 / $25.08 / $25.08	Facility	26	$25.08	$25.08	$25.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $49.98 / $65.86	Professional		$48.76	$49.98	$65.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.70 / $25.08 / $25.46	Professional	26	$17.70	$25.08	$25.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.16 / $39.20 / $40.78	Professional	TC	$28.16	$39.20	$40.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $179.40 / $265.91	Professional		$114.58	$179.40	$265.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.65 / $63.22 / $97.42	Professional	26	$41.65	$63.22	$97.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.76 / $122.63 / $179.00	Professional	TC	$78.76	$122.63	$179.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.96 / $191.86 / $229.87	Facility	26	$41.96	$191.86	$229.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.36 / $127.46 / $177.45	Professional		$101.36	$127.46	$177.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.79 / $42.49 / $59.15	Professional	26	$33.79	$42.49	$59.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.58 / $84.97 / $118.30	Professional	TC	$67.58	$84.97	$118.30
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $33.04 / $181.00 / $181.00	Facility	26	$33.04	$181.00	$181.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $100.36 / $100.36 / $147.38	Professional		$100.36	$100.36	$147.38
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $33.45 / $33.45 / $49.13	Professional	26	$33.45	$33.45	$49.13
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $66.91 / $66.91 / $98.25	Professional	TC	$66.91	$66.91	$98.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $122.62 / $122.62 / $122.62	Facility	26	$122.62	$122.62	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $136.66 / $424.65	Professional		$59.94	$136.66	$424.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.98 / $59.96 / $214.00	Professional	26	$23.98	$59.96	$214.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $36.00 / $82.26 / $272.93	Professional	TC	$36.00	$82.26	$272.93
United Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $136.38 / $182.93	Professional		$60.03	$136.38	$182.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.06 / $57.13 / $95.00	Professional	26	$24.06	$57.13	$95.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.04 / $45.15 / $106.16	Professional	TC	$36.04	$45.15	$106.16