Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.01 / $23.01 / $23.01	Facility	26	$23.01	$23.01	$23.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $27.69 / $45.89	Professional		$22.94	$27.69	$45.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.04 / $22.19 / $29.26	Professional	26	$19.04	$22.19	$29.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.90 / $4.68 / $24.15	Professional	TC	$3.90	$4.68	$24.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.32 / $18.32 / $18.32	Facility	26	$18.32	$18.32	$18.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $69.91 / $87.98	Professional		$43.27	$69.91	$87.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.06 / $54.77 / $72.73	Professional	26	$34.06	$54.77	$72.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.36 / $12.20 / $15.25	Professional	TC	$7.36	$12.20	$15.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.45 / $59.37 / $74.65	Facility	26	$47.45	$59.37	$74.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $60.54 / $98.81	Professional		$28.78	$60.54	$98.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.11 / $50.72 / $82.79	Professional	26	$24.11	$50.72	$82.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.67 / $9.90 / $16.10	Professional	TC	$4.67	$9.90	$16.10
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $47.45 / $58.78 / $123.32	Facility	26	$47.45	$58.78	$123.32
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $59.01 / $85.16	Professional		$34.45	$59.01	$85.16
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $28.87 / $49.44 / $71.34	Professional	26	$28.87	$49.44	$71.34
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $5.59 / $9.57 / $13.81	Professional	TC	$5.59	$9.57	$13.81
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 $22.60 / $43.62 / $109.47	Professional		$22.60	$43.62	$109.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $32.61 / $79.64	Professional	26	$18.43	$32.61	$79.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.68 / $6.36 / $16.82	Professional	TC	$3.68	$6.36	$16.82
United Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $39.90 / $81.67	Professional		$23.38	$39.90	$81.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $32.61 / $67.77	Professional	26	$18.84	$32.61	$67.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.68 / $6.37 / $13.61	Professional	TC	$3.68	$6.37	$13.61