Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.88 / $36.88 / $36.88	Facility		$36.88	$36.88	$36.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $17.38 / $17.38	Facility	26	$17.38	$17.38	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $36.88 / $55.23	Professional		$29.07	$36.88	$55.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $17.20 / $22.87	Professional	26	$13.70	$17.20	$22.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.96 / $19.48 / $33.75	Professional	TC	$13.96	$19.48	$33.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.05 / $30.05 / $30.05	Facility		$30.05	$30.05	$30.05
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $13.81 / $13.81 / $13.81	Facility	26	$13.81	$13.81	$13.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $87.76 / $117.31	Professional		$51.88	$87.76	$117.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.18 / $43.70 / $55.14	Professional	26	$25.18	$43.70	$55.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.61 / $49.73 / $62.17	Professional	TC	$30.61	$49.73	$62.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.76 / $94.80 / $119.20	Facility		$75.76	$94.80	$119.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.20 / $44.05 / $55.39	Facility	26	$35.20	$44.05	$55.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $80.98 / $132.19	Professional		$38.50	$80.98	$132.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $37.63 / $61.42	Professional	26	$17.89	$37.63	$61.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.61 / $43.36 / $70.77	Professional	TC	$20.61	$43.36	$70.77
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $75.76 / $93.86 / $196.92	Facility		$75.76	$93.86	$196.92
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $35.20 / $43.61 / $91.50	Facility	26	$35.20	$43.61	$91.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $78.94 / $113.93	Professional		$46.09	$78.94	$113.93
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.42 / $36.68 / $52.94	Professional	26	$21.42	$36.68	$52.94
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $24.68 / $42.26 / $60.99	Professional	TC	$24.68	$42.26	$60.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $35.00 / $74.28	Facility		$21.68	$35.00	$74.28
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 $30.52 / $48.22 / $124.08	Professional		$30.52	$48.22	$124.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.35 / $21.58 / $53.23	Professional	26	$14.35	$21.58	$53.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.39 / $24.28 / $55.61	Professional	TC	$15.39	$24.28	$55.61
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $44.58 / $107.79	Professional		$29.20	$44.58	$107.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $20.75 / $47.57	Professional	26	$14.44	$20.75	$47.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.39 / $23.39 / $51.30	Professional	TC	$15.39	$23.39	$51.30