Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $123.03	Professional		$38.90	$50.12	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.18 / $30.90	Professional	26	$10.00	$13.18	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.11 / $66.07	Professional	TC	$28.18	$33.11	$66.07
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $10.23 / $10.72	Facility	26	$10.23	$10.23	$10.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $162.18	Professional		$67.61	$109.65	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $28.18 / $41.69	Professional	26	$17.78	$28.18	$41.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $83.18 / $120.23	Professional	TC	$53.70	$83.18	$120.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $42.66 / $102.33	Facility	26	$29.51	$42.66	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $194.98	Professional		$69.18	$125.89	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $31.62 / $48.98	Professional	26	$18.20	$31.62	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $93.33 / $144.54	Professional	TC	$52.48	$93.33	$144.54
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $40.74 / $81.28	Facility	26	$33.11	$40.74	$81.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $181.97	Professional		$77.62	$114.82	$181.97
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.84 / $45.71	Professional	26	$19.95	$28.84	$45.71
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $85.11 / $138.04	Professional	TC	$57.54	$85.11	$138.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $275.42	Professional		$43.65	$83.18	$275.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $24.55 / $63.10	Professional	26	$12.59	$24.55	$63.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $56.23 / $204.17	Professional	TC	$30.20	$56.23	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $147.91	Professional		$43.65	$79.43	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $22.39 / $39.81	Professional	26	$12.30	$22.39	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $57.54 / $109.65	Professional	TC	$30.90	$57.54	$109.65