Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.86 / $15.86 / $15.86	Facility	26	$15.86	$15.86	$15.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $37.79 / $78.58	Professional		$25.37	$37.79	$78.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.74 / $15.38 / $28.27	Professional	26	$13.74	$15.38	$28.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.63 / $25.08 / $56.30	Professional	TC	$11.63	$25.08	$56.30
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.09 / $12.09 / $12.61	Facility	26	$12.09	$12.09	$12.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $101.29 / $158.37	Professional		$63.39	$101.29	$158.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.00 / $33.26 / $50.44	Professional	26	$21.00	$33.26	$50.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.62 / $75.22 / $107.93	Professional	TC	$44.62	$75.22	$107.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.36 / $50.17 / $120.68	Facility	26	$35.36	$50.17	$120.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $122.88 / $191.35	Professional		$76.08	$122.88	$191.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.03 / $38.79 / $60.43	Professional	26	$24.03	$38.79	$60.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.06 / $84.08 / $130.93	Professional	TC	$52.06	$84.08	$130.93
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $28.76 / $45.78 / $95.03	Facility	26	$28.76	$45.78	$95.03
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $112.24 / $172.90	Professional		$67.58	$112.24	$172.90
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.34 / $35.44 / $54.60	Professional	26	$21.34	$35.44	$54.60
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $46.24 / $76.79 / $118.30	Professional	TC	$46.24	$76.79	$118.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $80.00 / $80.00	Facility	26	$80.00	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $79.31 / $154.54	Professional		$38.00	$79.31	$154.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.47 / $30.62 / $58.94	Professional	26	$17.47	$30.62	$58.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $49.51 / $100.86	Professional	TC	$17.32	$49.51	$100.86
United Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $80.63 / $150.16	Professional		$38.78	$80.63	$150.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.47 / $31.76 / $56.06	Professional	26	$17.47	$31.76	$56.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $52.43 / $92.71	Professional	TC	$18.23	$52.43	$92.71