Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $70.79 / $93.33	Facility		$15.14	$70.79	$93.33
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $3.02 / $3.02	Facility	26	$3.02	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $50.12	Professional		$10.96	$15.14	$50.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $6.92 / $32.36	Professional	26	$3.02	$6.92	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $10.96 / $35.48	Professional	TC	$7.08	$10.96	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $57.54	Professional		$27.54	$41.69	$57.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $15.14	Professional	26	$7.08	$10.96	$15.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $32.36 / $42.66	Professional	TC	$20.42	$32.36	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $120.23 / $144.54	Facility		$6.61	$120.23	$144.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $30.20 / $36.31	Facility	26	$6.61	$30.20	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $35.48	Professional		$21.38	$26.92	$35.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $6.61 / $8.51	Professional	26	$5.25	$6.61	$8.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $20.42 / $26.92	Professional	TC	$16.22	$20.42	$26.92
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $112.20 / $112.20	Facility		$5.25	$112.20	$112.20
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $5.25 / $28.18 / $28.18	Facility	26	$5.25	$28.18	$28.18
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $33.88	Professional		$21.38	$21.38	$33.88
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $5.25 / $12.88	Professional	26	$5.25	$5.25	$12.88
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $16.22 / $23.44	Professional	TC	$16.22	$16.22	$23.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $32.36 / $81.28	Facility		$19.50	$32.36	$81.28
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 $9.55 / $28.84 / $123.03	Professional		$9.55	$28.84	$123.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $11.75 / $44.67	Professional	26	$4.68	$11.75	$44.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $21.88 / $97.72	Professional	TC	$6.76	$21.88	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $30.90 / $54.95	Professional		$12.88	$30.90	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.63 / $8.32 / $13.80	Professional	26	$3.63	$8.32	$13.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $22.39 / $39.81	Professional	TC	$9.33	$22.39	$39.81