Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.74 / $8.74 / $8.74	Facility	26	$8.74	$8.74	$8.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $38.49 / $165.30	Professional		$26.58	$38.49	$165.30
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $47.07 / $47.07	Professional	25	$37.15	$47.07	$47.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $9.66 / $36.26	Professional	26	$7.70	$9.66	$36.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $27.24 / $45.37	Professional	TC	$17.63	$27.24	$45.37
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $6.61 / $6.90	Facility	26	$6.61	$6.61	$6.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $73.11 / $96.19	Professional		$41.53	$73.11	$96.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $21.23 / $28.15	Professional	26	$11.98	$21.23	$28.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.64 / $53.93 / $68.04	Professional	TC	$31.64	$53.93	$68.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.60 / $27.47 / $66.09	Facility	26	$17.60	$27.47	$66.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $74.84 / $116.54	Professional		$46.33	$74.84	$116.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.05 / $21.25 / $33.09	Professional	26	$13.05	$21.25	$33.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.18 / $53.59 / $83.45	Professional	TC	$33.18	$53.59	$83.45
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $15.25 / $25.07 / $52.04	Facility	26	$15.25	$25.07	$52.04
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $70.45 / $105.30	Professional		$45.88	$70.45	$105.30
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.03 / $20.01 / $29.90	Professional	26	$13.03	$20.01	$29.90
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $32.85 / $50.45 / $75.40	Professional	TC	$32.85	$50.45	$75.40
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 $39.70 / $87.73 / $165.30	Professional		$39.70	$87.73	$165.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $19.96 / $86.90	Professional	26	$9.27	$19.96	$86.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.43 / $53.76 / $135.32	Professional	TC	$27.43	$53.76	$135.32
United Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $65.25 / $122.37	Professional		$34.36	$65.25	$122.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.92 / $15.98 / $30.57	Professional	26	$8.92	$15.98	$30.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $47.45 / $93.45	Professional	TC	$25.57	$47.45	$93.45