Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.74 / $2.74 / $2.74	Facility	26	$2.74	$2.74	$2.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $22.36 / $27.19	Professional		$13.88	$22.36	$27.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.61 / $4.51 / $5.79	Professional	26	$2.61	$4.51	$5.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.26 / $17.86 / $22.90	Professional	TC	$11.26	$17.86	$22.90
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $2.00 / $2.00 / $2.10	Facility	26	$2.00	$2.00	$2.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $40.11 / $52.79	Professional		$22.79	$40.11	$52.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.00 / $7.13 / $9.38	Professional	26	$4.00	$7.13	$9.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $34.72 / $43.40	Professional	TC	$19.80	$34.72	$43.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.36 / $8.36 / $20.11	Facility	26	$5.36	$8.36	$20.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $40.65 / $63.30	Professional		$25.26	$40.65	$63.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.23 / $6.62 / $10.07	Professional	26	$4.23	$6.62	$10.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.17 / $34.19 / $53.23	Professional	TC	$21.17	$34.19	$53.23
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $4.63 / $7.63 / $15.84	Facility	26	$4.63	$7.63	$15.84
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $38.28 / $57.20	Professional		$24.92	$38.28	$57.20
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $3.96 / $6.09 / $9.10	Professional	26	$3.96	$6.09	$9.10
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $32.19 / $48.10	Professional	TC	$20.96	$32.19	$48.10
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 $23.34 / $46.31 / $161.00	Professional		$23.34	$46.31	$161.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $4.93 / $9.40 / $54.00	Professional	26	$4.93	$9.40	$54.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.05 / $36.97 / $129.00	Professional	TC	$18.05	$36.97	$129.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $44.32 / $79.01	Professional		$21.08	$44.32	$79.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.22 / $9.00 / $16.43	Professional	26	$4.22	$9.00	$16.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.38 / $34.79 / $63.72	Professional	TC	$16.38	$34.79	$63.72