Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.23 / $13.23 / $13.23	Facility	26	$13.23	$13.23	$13.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $42.57 / $74.64	Professional		$36.54	$42.57	$74.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $12.46 / $18.44	Professional	26	$11.06	$12.46	$18.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $29.92 / $55.94	Professional	TC	$24.92	$29.92	$55.94
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.07 / $10.07 / $10.51	Facility	26	$10.07	$10.07	$10.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $116.72 / $156.02	Professional		$64.94	$116.72	$156.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.98 / $31.86 / $42.23	Professional	26	$17.98	$31.86	$42.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.20 / $89.99 / $113.79	Professional	TC	$52.20	$89.99	$113.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.79 / $41.81 / $100.57	Facility	26	$26.79	$41.81	$100.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $122.88 / $191.35	Professional		$72.06	$122.88	$191.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $32.34 / $50.36	Professional	26	$19.82	$32.34	$50.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.10 / $90.54 / $141.00	Professional	TC	$53.10	$90.54	$141.00
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $23.21 / $38.15 / $79.19	Facility	26	$23.21	$38.15	$79.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $75.33 / $115.70 / $172.90	Professional		$75.33	$115.70	$172.90
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $30.45 / $45.50	Professional	26	$19.82	$30.45	$45.50
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $55.51 / $85.25 / $127.40	Professional	TC	$55.51	$85.25	$127.40
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 $43.67 / $78.39 / $180.24	Professional		$43.67	$78.39	$180.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $24.21 / $56.42	Professional	26	$13.38	$24.21	$56.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.21 / $53.68 / $123.82	Professional	TC	$30.21	$53.68	$123.82
United Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $73.98 / $141.38	Professional		$41.20	$73.98	$141.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $24.04 / $44.25	Professional	26	$12.99	$24.04	$44.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.02 / $54.17 / $100.46	Professional	TC	$30.02	$54.17	$100.46