Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.13 / $27.13 / $27.13	Facility	26	$27.13	$27.13	$27.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $31.81 / $45.89	Professional		$26.34	$31.81	$45.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.73 / $26.66 / $34.53	Professional	26	$17.73	$26.66	$34.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.17 / $15.79 / $20.05	Professional	52	$13.17	$15.79	$20.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.60 / $4.50 / $27.60	Professional	TC	$3.60	$4.50	$27.60
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $21.92 / $21.92 / $21.92	Facility	26	$21.92	$21.92	$21.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $79.95 / $100.89	Professional		$46.92	$79.95	$100.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.59 / $67.64 / $85.64	Professional	26	$39.59	$67.64	$85.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.81 / $12.20 / $15.25	Professional	TC	$6.81	$12.20	$15.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.87 / $69.90 / $87.90	Facility	26	$55.87	$69.90	$87.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $69.54 / $113.50	Professional		$33.06	$69.54	$113.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.94 / $60.54 / $97.95	Professional	26	$26.94	$60.54	$97.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.28 / $9.08 / $15.14	Professional	TC	$4.28	$9.08	$15.14
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $55.87 / $69.20 / $145.19	Facility	26	$55.87	$69.20	$145.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $67.78 / $97.82	Professional		$39.58	$67.78	$97.82
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $34.45 / $59.01 / $85.16	Professional	26	$34.45	$59.01	$85.16
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $5.12 / $8.77 / $12.68	Professional	TC	$5.12	$8.77	$12.68
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $112.04 / $112.04 / $112.04	Facility	26	$112.04	$112.04	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $50.03 / $112.54	Professional		$26.38	$50.03	$112.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.08 / $38.97 / $95.57	Professional	26	$22.08	$38.97	$95.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $6.21 / $16.82	Professional	TC	$3.47	$6.21	$16.82
United Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $48.51 / $95.31	Professional		$27.29	$48.51	$95.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.08 / $46.44 / $94.61	Professional	26	$22.08	$46.44	$94.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.69 / $6.29 / $14.11	Professional	TC	$3.69	$6.29	$14.11