Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.97 / $19.97 / $19.97	Facility	26	$19.97	$19.97	$19.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $25.96 / $49.50	Professional		$19.48	$25.96	$49.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.82 / $19.97 / $154.58	Professional	26	$15.82	$19.97	$154.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.05 / $6.51 / $16.38	Professional	TC	$5.05	$6.51	$16.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $69.55 / $107.16	Professional		$48.20	$69.55	$107.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.45 / $49.79 / $73.80	Professional	26	$34.45	$49.79	$73.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.16 / $20.86 / $30.44	Professional	TC	$13.16	$20.86	$30.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.04 / $151.09 / $181.02	Facility	26	$33.04	$151.09	$181.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $46.68 / $64.98	Professional		$37.11	$46.68	$64.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.28 / $33.04 / $46.01	Professional	26	$26.28	$33.04	$46.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.85 / $13.64 / $18.98	Professional	TC	$10.85	$13.64	$18.98
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $26.02 / $142.54 / $142.54	Facility	26	$26.02	$142.54	$142.54
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $36.76 / $53.98	Professional		$36.76	$36.76	$53.98
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $26.02 / $26.02 / $38.21	Professional	26	$26.02	$26.02	$38.21
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $10.74 / $10.74 / $15.77	Professional	TC	$10.74	$10.74	$15.77
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.38 / $95.38 / $95.38	Facility	26	$95.38	$95.38	$95.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $55.57 / $123.11	Professional		$24.52	$55.57	$123.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.54 / $45.82 / $80.12	Professional	26	$18.54	$45.82	$80.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $6.02 / $13.77 / $29.32	Professional	TC	$6.02	$13.77	$29.32
United Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $55.57 / $79.63	Professional		$24.56	$55.57	$79.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.54 / $25.81 / $60.67	Professional	26	$18.54	$25.81	$60.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.02 / $8.66 / $18.96	Professional	TC	$6.02	$8.66	$18.96