Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $79.43	Professional		$48.98	$57.54	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $19.95 / $28.84	Professional	26	$18.20	$19.95	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $36.31 / $50.12	Professional	TC	$30.90	$36.31	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $229.09	Professional		$107.15	$169.82	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $61.66 / $83.18	Professional	26	$39.81	$61.66	$83.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $112.20 / $141.25	Professional	TC	$67.61	$112.20	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $181.97 / $218.78	Facility	26	$40.74	$181.97	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $141.25	Professional		$87.10	$109.65	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $40.74 / $51.29	Professional	26	$32.36	$40.74	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $69.18 / $89.13	Professional	TC	$54.95	$69.18	$89.13
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $173.78 / $173.78	Facility	26	$31.62	$173.78	$173.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $158.49	Professional		$87.10	$87.10	$158.49
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $31.62 / $57.54	Professional	26	$31.62	$31.62	$57.54
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $54.95 / $100.00	Professional	TC	$54.95	$54.95	$100.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $114.82 / $436.52	Professional		$44.67	$114.82	$436.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $51.29 / $158.49	Professional	26	$16.60	$51.29	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $91.20 / $281.84	Professional	TC	$28.18	$91.20	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $144.54 / $223.87	Professional		$64.57	$144.54	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $51.29 / $83.18	Professional	26	$22.91	$51.29	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $93.33 / $141.25	Professional	TC	$41.69	$93.33	$141.25