Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $15.09 / $91.20	Facility		$15.09	$15.09	$91.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.95 / $3.95 / $3.95	Facility	26	$3.95	$3.95	$3.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $13.56 / $27.08	Professional		$10.86	$13.56	$27.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $0.83 / $3.95 / $16.02	Professional	26	$0.83	$3.95	$16.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.70 / $11.14 / $33.82	Professional	TC	$7.70	$11.14	$33.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.68 / $92.77 / $107.78	Facility		$92.68	$92.77	$107.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $38.72 / $59.67	Professional		$26.25	$38.72	$59.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $10.28 / $15.83	Professional	26	$6.77	$10.28	$15.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.29 / $30.03 / $42.17	Professional	TC	$19.29	$30.03	$42.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.57 / $115.12 / $137.91	Facility		$26.57	$115.12	$137.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.64 / $28.78 / $34.47	Facility	26	$6.64	$28.78	$34.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $27.12 / $34.35	Professional		$21.57	$27.12	$34.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.28 / $6.64 / $8.41	Professional	26	$5.28	$6.64	$8.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.29 / $20.48 / $25.94	Professional	TC	$16.29	$20.48	$25.94
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $108.60 / $108.60	Facility		$20.92	$108.60	$108.60
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $5.23 / $27.15 / $27.15	Facility	26	$5.23	$27.15	$27.15
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $21.35 / $30.55	Professional		$21.35	$21.35	$30.55
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $5.23 / $5.23 / $7.48	Professional	26	$5.23	$5.23	$7.48
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $16.12 / $16.12 / $23.07	Professional	TC	$16.12	$16.12	$23.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $32.08 / $82.19	Facility		$19.62	$32.08	$82.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $29.23 / $122.00	Professional		$9.52	$29.23	$122.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $4.69 / $12.01 / $45.90	Professional	26	$4.69	$12.01	$45.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $9.30 / $21.96 / $97.85	Professional	TC	$9.30	$21.96	$97.85
United Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $29.23 / $46.14	Professional		$12.94	$29.23	$46.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.56 / $5.63 / $12.32	Professional	26	$3.56	$5.63	$12.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.34 / $13.43 / $29.39	Professional	TC	$9.34	$13.43	$29.39