Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.48 / $15.48 / $15.48	Facility	26	$15.48	$15.48	$15.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $41.57 / $154.00	Professional		$35.59	$41.57	$154.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.30 / $15.35 / $41.12	Professional	26	$13.30	$15.35	$41.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.86 / $25.65 / $38.01	Professional	TC	$21.86	$25.65	$38.01
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.80 / $11.80 / $12.31	Facility	26	$11.80	$11.80	$12.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $102.68 / $137.25	Professional		$57.14	$102.68	$137.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.95 / $37.15 / $49.27	Professional	26	$20.95	$37.15	$49.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.13 / $69.73 / $87.98	Professional	TC	$40.13	$69.73	$87.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.38 / $48.97 / $117.81	Facility	26	$31.38	$48.97	$117.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $108.10 / $168.33	Professional		$63.43	$108.10	$168.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.22 / $37.88 / $58.99	Professional	26	$23.22	$37.88	$58.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.18 / $70.22 / $109.34	Professional	TC	$41.18	$70.22	$109.34
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $27.19 / $44.69 / $92.76	Facility	26	$27.19	$44.69	$92.76
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $101.78 / $152.10	Professional		$66.27	$101.78	$152.10
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $23.22 / $35.67 / $53.30	Professional	26	$23.22	$35.67	$53.30
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $43.05 / $66.11 / $98.80	Professional	TC	$43.05	$66.11	$98.80
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 $43.67 / $99.50 / $160.44	Professional		$43.67	$99.50	$160.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $32.31 / $75.17	Professional	26	$16.22	$32.31	$75.17
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $48.10 / $198.00	Professional	TC	$24.54	$48.10	$198.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.83 / $71.47 / $134.59	Professional		$37.83	$71.47	$134.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $27.74 / $54.79	Professional	26	$15.16	$27.74	$54.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.30 / $45.00 / $83.60	Professional	TC	$24.30	$45.00	$83.60