Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $135.82 / $170.06	Professional		$98.04	$135.82	$170.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.51 / $15.87 / $20.73	Professional	26	$13.51	$15.87	$20.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.40 / $120.30 / $149.33	Professional	TC	$85.40	$120.30	$149.33
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.91 / $12.91 / $12.91	Facility	26	$12.91	$12.91	$12.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.77 / $369.10 / $466.89	Professional		$212.77	$369.10	$466.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.60 / $40.90 / $51.62	Professional	26	$23.60	$40.90	$51.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $193.37 / $332.15 / $415.28	Professional	TC	$193.37	$332.15	$415.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $41.18 / $51.78	Facility	26	$32.90	$41.18	$51.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $329.69 / $538.12	Professional		$146.69	$329.69	$538.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.72 / $35.18 / $57.42	Professional	26	$16.72	$35.18	$57.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $130.66 / $294.52 / $480.70	Professional	TC	$130.66	$294.52	$480.70
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $40.77 / $85.53	Facility	26	$32.90	$40.77	$85.53
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $187.64 / $321.35 / $463.77	Professional		$187.64	$321.35	$463.77
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $20.02 / $34.29 / $49.48	Professional	26	$20.02	$34.29	$49.48
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $167.62 / $287.06 / $414.29	Professional	TC	$167.62	$287.06	$414.29
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 $96.63 / $187.57 / $425.84	Professional		$96.63	$187.57	$425.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $23.73 / $57.09	Professional	26	$13.19	$23.73	$57.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $83.44 / $142.05 / $361.86	Professional	TC	$83.44	$142.05	$361.86
United Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $170.52 / $357.36	Professional		$96.63	$170.52	$357.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $24.06 / $52.17	Professional	26	$13.50	$24.06	$52.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.44 / $157.06 / $324.82	Professional	TC	$83.44	$157.06	$324.82