Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.37 / $3.37 / $5.05	Facility	26	$3.37	$3.37	$5.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $39.09 / $202.93	Professional		$23.28	$39.09	$202.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.95 / $5.26 / $114.00	Professional	26	$2.95	$5.26	$114.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.54 / $13.27 / $22.66	Professional	52	$10.54	$13.27	$22.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.97 / $32.22 / $83.66	Professional	TC	$19.97	$32.22	$83.66
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $2.59 / $2.59 / $2.59	Facility	26	$2.59	$2.59	$2.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $62.35 / $82.12	Professional		$35.28	$62.35	$82.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.67 / $7.96 / $10.56	Professional	26	$4.67	$7.96	$10.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.15 / $57.25 / $71.56	Professional	TC	$35.15	$57.25	$71.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.89 / $10.75 / $25.86	Facility	26	$6.89	$10.75	$25.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $65.50 / $101.62	Professional		$35.96	$65.50	$101.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.38 / $8.32 / $12.95	Professional	26	$4.38	$8.32	$12.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.82 / $57.39 / $87.69	Professional	TC	$31.82	$57.39	$87.69
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $5.97 / $9.48 / $20.36	Facility	26	$5.97	$9.48	$20.36
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $62.91 / $89.70	Professional		$39.08	$62.91	$89.70
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $5.09 / $8.09 / $11.70	Professional	26	$5.09	$8.09	$11.70
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $33.97 / $54.71 / $78.00	Professional	TC	$33.97	$54.71	$78.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $101.15 / $101.15 / $101.15	Facility	26	$101.15	$101.15	$101.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $58.97 / $724.06	Professional		$28.97	$58.97	$724.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $3.58 / $7.01 / $289.41	Professional	26	$3.58	$7.01	$289.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.27 / $47.50 / $660.75	Professional	TC	$25.27	$47.50	$660.75
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $50.83 / $89.47	Professional		$27.79	$50.83	$89.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.48 / $6.32 / $10.69	Professional	26	$3.48	$6.32	$10.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.21 / $44.46 / $80.95	Professional	TC	$24.21	$44.46	$80.95