Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $125.89 / $338.84	Facility		$25.12	$125.89	$338.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $3.02 / $3.02	Facility	26	$3.02	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.20 / $81.28	Professional		$18.62	$30.20	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.02 / $16.60	Professional	26	$2.00	$3.02	$16.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $42.66	Professional	TC	$15.85	$21.88	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $104.71 / $177.83	Facility		$51.29	$104.71	$177.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $2.34 / $2.34	Facility	26	$2.04	$2.34	$2.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $81.28	Professional		$33.88	$54.95	$81.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.37 / $7.24 / $10.72	Professional	26	$4.37	$7.24	$10.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $50.12 / $70.79	Professional	TC	$30.20	$50.12	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $89.13 / $208.93	Facility		$51.29	$89.13	$208.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.40 / $8.71 / $23.99	Facility	26	$2.40	$8.71	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $57.54 / $97.72	Professional		$26.30	$57.54	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.63 / $7.59 / $11.75	Professional	26	$3.63	$7.59	$11.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $51.29 / $85.11	Professional	TC	$22.91	$51.29	$85.11
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $165.96	Facility		$67.61	$85.11	$165.96
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $9.55 / $19.05	Facility	26	$7.76	$9.55	$19.05
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $91.20	Professional		$39.81	$57.54	$91.20
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $5.13 / $6.76 / $10.72	Professional	26	$5.13	$6.76	$10.72
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $51.29 / $79.43	Professional	TC	$34.67	$51.29	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $51.29 / $74.13	Facility		$23.99	$51.29	$74.13
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 $22.39 / $41.69 / $309.03	Professional		$22.39	$41.69	$309.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $6.03 / $128.82	Professional	26	$3.24	$6.03	$128.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $34.67 / $251.19	Professional	TC	$19.05	$34.67	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $95.50 / $131.83	Facility		$93.33	$95.50	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $70.79	Professional		$22.39	$38.02	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $5.37 / $11.22	Professional	26	$3.24	$5.37	$11.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $32.36 / $60.26	Professional	TC	$19.05	$32.36	$60.26