Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.61 / $7.61 / $7.61	Facility	26	$7.61	$7.61	$7.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $32.90 / $180.47	Professional		$25.14	$32.90	$180.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $8.84 / $44.50	Professional	26	$6.64	$8.84	$44.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $22.57 / $48.06	Professional	TC	$17.78	$22.57	$48.06
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $5.75 / $5.75 / $5.75	Facility	26	$5.75	$5.75	$5.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $65.89 / $87.98	Professional		$38.39	$65.89	$87.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.90 / $18.43 / $24.64	Professional	26	$10.90	$18.43	$24.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.58 / $51.79 / $65.76	Professional	TC	$31.58	$51.79	$65.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.31 / $23.89 / $57.47	Facility	26	$15.31	$23.89	$57.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $68.37 / $106.47	Professional		$37.56	$68.37	$106.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $18.48 / $28.77	Professional	26	$9.64	$18.48	$28.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.87 / $49.89 / $77.69	Professional	TC	$26.87	$49.89	$77.69
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $13.26 / $21.06 / $45.25	Facility	26	$13.26	$21.06	$45.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $67.34 / $96.20	Professional		$41.91	$67.34	$96.20
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.33 / $17.98 / $26.00	Professional	26	$11.33	$17.98	$26.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $30.59 / $49.24 / $70.20	Professional	TC	$30.59	$49.24	$70.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $103.69 / $103.69 / $103.69	Facility	26	$103.69	$103.69	$103.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $56.36 / $644.00	Professional		$29.78	$56.36	$644.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $14.86 / $228.88	Professional	26	$8.07	$14.86	$228.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.44 / $40.92 / $542.00	Professional	TC	$21.44	$40.92	$542.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $53.06 / $88.86	Professional		$28.42	$53.06	$88.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $13.93 / $24.11	Professional	26	$7.82	$13.93	$24.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.72 / $38.20 / $66.40	Professional	TC	$19.72	$38.20	$66.40