Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Facility	26	$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $63.10	Professional		$33.88	$42.66	$63.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $19.05 / $25.12	Professional	26	$14.13	$19.05	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $22.91 / $33.88	Professional	TC	$17.38	$22.91	$33.88
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $18.62 / $18.62	Facility	26	$18.62	$18.62	$18.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $162.18	Professional		$67.61	$112.20	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $48.98 / $70.79	Professional	26	$28.84	$48.98	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $63.10 / $91.20	Professional	TC	$38.90	$63.10	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $66.07 / $77.62	Facility	26	$47.86	$66.07	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $109.65 / $186.21	Professional		$48.98	$109.65	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $47.86 / $79.43	Professional	26	$20.42	$47.86	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $61.66 / $104.71	Professional	TC	$28.18	$61.66	$104.71
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $60.26 / $125.89	Facility	26	$47.86	$60.26	$125.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $158.49	Professional		$70.79	$117.49	$158.49
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $51.29 / $69.18	Professional	26	$30.90	$51.29	$69.18
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $67.61 / $91.20	Professional	TC	$40.74	$67.61	$91.20
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 $43.65 / $69.18 / $147.91	Professional		$43.65	$69.18	$147.91
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $29.51 / $66.07	Professional	26	$19.05	$29.51	$66.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $38.02 / $75.86	Professional	TC	$22.91	$38.02	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $125.89	Professional		$41.69	$63.10	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $27.54 / $56.23	Professional	26	$19.05	$27.54	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $35.48 / $69.18	Professional	TC	$22.91	$35.48	$69.18