Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.85 / $12.85 / $12.85	Facility	26	$12.85	$12.85	$12.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $45.53 / $80.43	Professional		$40.52	$45.53	$80.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $12.45 / $18.77	Professional	26	$11.24	$12.45	$18.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.89 / $32.90 / $48.68	Professional	TC	$28.89	$32.90	$48.68
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.78 / $9.78 / $10.21	Facility	26	$9.78	$9.78	$10.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $120.76 / $157.19	Professional		$70.04	$120.76	$157.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.16 / $31.27 / $41.06	Professional	26	$18.16	$31.27	$41.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.46 / $92.91 / $116.14	Professional	TC	$57.46	$92.91	$116.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.02 / $40.61 / $97.69	Facility	26	$26.02	$40.61	$97.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $124.73 / $194.23	Professional		$73.15	$124.73	$194.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.26 / $31.41 / $48.92	Professional	26	$19.26	$31.41	$48.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.73 / $93.32 / $145.31	Professional	TC	$54.73	$93.32	$145.31
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.55 / $37.06 / $76.93	Facility	26	$22.55	$37.06	$76.93
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $117.44 / $175.50	Professional		$76.45	$117.44	$175.50
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.26 / $29.58 / $44.20	Professional	26	$19.26	$29.58	$44.20
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $57.21 / $87.86 / $131.30	Professional	TC	$57.21	$87.86	$131.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $80.00 / $80.00	Facility	26	$80.00	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $87.00 / $192.80	Professional		$45.72	$87.00	$192.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.37 / $25.73 / $50.40	Professional	26	$13.37	$25.73	$50.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.35 / $59.64 / $137.94	Professional	TC	$32.35	$59.64	$137.94
United Facility/Professional Professional Modifier Low / Median / High Price $44.87 / $81.23 / $155.63	Professional		$44.87	$81.23	$155.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $23.12 / $43.63	Professional	26	$12.63	$23.12	$43.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.35 / $56.22 / $108.53	Professional	TC	$32.35	$56.22	$108.53