Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.48 / $15.48 / $15.48	Facility	26	$15.48	$15.48	$15.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $50.92 / $61.72	Professional		$44.59	$50.92	$61.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.82 / $15.48 / $19.92	Professional	26	$13.82	$15.48	$19.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.07 / $35.45 / $44.32	Professional	TC	$30.07	$35.45	$44.32
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.51 / $11.51 / $12.01	Facility	26	$11.51	$11.51	$12.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $100.81 / $154.85	Professional		$59.10	$100.81	$154.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.02 / $32.22 / $49.27	Professional	26	$20.02	$32.22	$49.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.41 / $74.95 / $105.58	Professional	TC	$44.41	$74.95	$105.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.52 / $48.97 / $117.81	Facility	26	$34.52	$48.97	$117.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.94 / $114.57 / $178.40	Professional		$70.94	$114.57	$178.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.88 / $36.96 / $57.55	Professional	26	$22.88	$36.96	$57.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.36 / $77.61 / $122.10	Professional	TC	$48.36	$77.61	$122.10
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $28.07 / $44.69 / $92.76	Facility	26	$28.07	$44.69	$92.76
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $104.64 / $161.19	Professional		$63.00	$104.64	$161.19
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $33.76 / $52.00	Professional	26	$20.32	$33.76	$52.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $42.68 / $70.89 / $109.20	Professional	TC	$42.68	$70.89	$109.20
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 $57.96 / $104.89 / $195.57	Professional		$57.96	$104.89	$195.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.57 / $30.42 / $57.61	Professional	26	$17.57	$30.42	$57.61
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.89 / $73.68 / $137.96	Professional	TC	$40.89	$73.68	$137.96
United Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $108.24 / $193.82	Professional		$59.54	$108.24	$193.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.57 / $30.36 / $56.11	Professional	26	$17.57	$30.36	$56.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.89 / $73.01 / $136.72	Professional	TC	$40.89	$73.01	$136.72