Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $33.88	Professional		$19.50	$25.12	$33.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $25.12	Professional	26	$15.85	$19.95	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $5.01	Professional	TC	$3.02	$3.98	$5.01
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 $35.48 / $56.23 / $87.10	Professional		$35.48	$56.23	$87.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $46.77 / $70.79	Professional	26	$29.51	$46.77	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.17 / $10.72 / $15.49	Professional	TC	$6.17	$10.72	$15.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $67.61 / $77.62	Facility	26	$48.98	$67.61	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $57.54 / $97.72	Professional		$25.70	$57.54	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $47.86 / $81.28	Professional	26	$19.50	$47.86	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.37 / $9.33 / $15.85	Professional	TC	$4.37	$9.33	$15.85
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $61.66 / $125.89	Facility	26	$48.98	$61.66	$125.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $83.18	Professional		$37.15	$61.66	$83.18
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $52.48 / $69.18	Professional	26	$31.62	$52.48	$69.18
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $4.57 / $10.00 / $13.49	Professional	TC	$4.57	$10.00	$13.49
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 $23.44 / $43.65 / $154.88	Professional		$23.44	$43.65	$154.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $32.36 / $79.43	Professional	26	$18.62	$32.36	$79.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $6.46 / $19.95	Professional	TC	$3.72	$6.46	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $39.81 / $74.13	Professional		$22.39	$39.81	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $31.62 / $60.26	Professional	26	$18.62	$31.62	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $6.46 / $14.79	Professional	TC	$3.72	$6.46	$14.79