Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.00 / $2.00 / $2.00	Facility	26	$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $37.15	Professional		$12.88	$19.95	$37.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.02 / $7.08	Professional	26	$2.00	$3.02	$7.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $14.13 / $28.84	Professional	TC	$10.96	$14.13	$28.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $2.04 / $2.14	Facility	26	$2.04	$2.04	$2.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $53.70	Professional		$21.88	$37.15	$53.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.89 / $6.61 / $9.77	Professional	26	$3.89	$6.61	$9.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $31.62 / $44.67	Professional	TC	$18.62	$31.62	$44.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $8.91 / $20.89	Facility	26	$6.03	$8.91	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $63.10	Professional		$25.12	$41.69	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.07 / $6.61 / $10.00	Professional	26	$4.07	$6.61	$10.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $34.67 / $53.70	Professional	TC	$20.89	$34.67	$53.70
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $8.51 / $16.60	Facility	26	$6.76	$8.51	$16.60
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $60.26	Professional		$25.70	$38.02	$60.26
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $4.07 / $6.17 / $9.55	Professional	26	$4.07	$6.17	$9.55
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $32.36 / $50.12	Professional	TC	$21.38	$32.36	$50.12
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 $21.88 / $44.67 / $162.18	Professional		$21.88	$44.67	$162.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $9.12 / $53.70	Professional	26	$4.68	$9.12	$53.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $35.48 / $128.82	Professional	TC	$16.98	$35.48	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $67.61	Professional		$20.89	$37.15	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.07 / $7.24 / $14.13	Professional	26	$4.07	$7.24	$14.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $30.20 / $54.95	Professional	TC	$16.22	$30.20	$54.95