Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.63 / $22.63 / $22.63	Facility	26	$22.63	$22.63	$22.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $52.00 / $73.26	Professional		$38.64	$52.00	$73.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.71 / $22.63 / $50.09	Professional	26	$17.71	$22.63	$50.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.82 / $29.37 / $48.17	Professional	TC	$20.82	$29.37	$48.17
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.02 / $18.02 / $18.02	Facility	26	$18.02	$18.02	$18.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.91 / $131.10 / $165.41	Professional		$76.91	$131.10	$165.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.71 / $56.72 / $71.56	Professional	26	$32.71	$56.72	$71.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.62 / $75.06 / $93.85	Professional	TC	$45.62	$75.06	$93.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.68 / $58.41 / $73.45	Facility	26	$46.68	$58.41	$73.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.83 / $115.35 / $188.27	Professional		$54.83	$115.35	$188.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.72 / $49.90 / $81.45	Professional	26	$23.72	$49.90	$81.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.11 / $65.45 / $106.82	Professional	TC	$31.11	$65.45	$106.82
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $46.68 / $57.83 / $121.34	Facility	26	$46.68	$57.83	$121.34
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $112.43 / $162.26	Professional		$65.65	$112.43	$162.26
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $28.40 / $48.64 / $70.20	Professional	26	$28.40	$48.64	$70.20
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $37.25 / $63.79 / $92.06	Professional	TC	$37.25	$63.79	$92.06
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 $42.62 / $68.15 / $153.69	Professional		$42.62	$68.15	$153.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $28.78 / $69.28	Professional	26	$18.98	$28.78	$69.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.03 / $36.51 / $82.83	Professional	TC	$23.03	$36.51	$82.83
United Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $60.45 / $134.21	Professional		$41.85	$60.45	$134.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $27.51 / $63.83	Professional	26	$18.82	$27.51	$63.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.03 / $34.36 / $75.72	Professional	TC	$23.03	$34.36	$75.72