Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.37 / $11.37 / $11.37	Facility	26	$11.37	$11.37	$11.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $38.77 / $99.68	Professional		$29.69	$38.77	$99.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $14.75 / $30.11	Professional	26	$10.11	$14.75	$30.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.62 / $23.27 / $32.93	Professional	TC	$19.62	$23.27	$32.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.64 / $8.64 / $8.64	Facility	26	$8.64	$8.64	$8.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $88.78 / $107.93	Professional		$47.22	$88.78	$107.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $29.99 / $36.36	Professional	26	$16.07	$29.99	$36.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.10 / $59.00 / $71.56	Professional	TC	$36.10	$59.00	$71.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.96 / $35.83 / $86.20	Facility	26	$22.96	$35.83	$86.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $79.77 / $127.39	Professional		$38.77	$79.77	$127.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.84 / $26.66 / $42.95	Professional	26	$14.84	$26.66	$42.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.10 / $53.11 / $84.92	Professional	TC	$23.10	$53.11	$84.92
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.89 / $31.59 / $67.88	Facility	26	$19.89	$31.59	$67.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $82.06 / $117.00	Professional		$53.87	$82.06	$117.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.96 / $26.94 / $39.00	Professional	26	$17.96	$26.94	$39.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $35.90 / $54.71 / $78.00	Professional	TC	$35.90	$54.71	$78.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $73.38 / $195.66	Professional		$37.89	$73.38	$195.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $27.48 / $69.84	Professional	26	$14.44	$27.48	$69.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $46.87 / $129.61	Professional	TC	$23.45	$46.87	$129.61
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $69.92 / $129.08	Professional		$37.89	$69.92	$129.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $25.43 / $49.19	Professional	26	$14.44	$25.43	$49.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $45.96 / $81.86	Professional	TC	$23.45	$45.96	$81.86