Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $14.13	Facility	26	$8.91	$8.91	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $239.88	Professional		$52.48	$67.61	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $34.67	Professional	26	$7.94	$10.00	$34.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.13 / $8.32 / $39.81	Professional	52	$8.13	$8.32	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $52.48 / $123.03	Professional	TC	$42.66	$52.48	$123.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $8.32	Facility	26	$7.94	$7.94	$8.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $199.53	Professional		$81.28	$134.90	$199.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $20.89 / $30.90	Professional	26	$12.59	$20.89	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $117.49 / $169.82	Professional	TC	$70.79	$117.49	$169.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $31.62 / $75.86	Facility	26	$21.88	$31.62	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $245.47	Professional		$89.13	$158.49	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $23.44 / $36.31	Professional	26	$13.18	$23.44	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $134.90 / $208.93	Professional	TC	$75.86	$134.90	$208.93
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $30.20 / $58.88	Facility	26	$23.99	$30.20	$58.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $229.09	Professional		$97.72	$144.54	$229.09
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $21.38 / $33.88	Professional	26	$14.45	$21.38	$33.88
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $123.03 / $194.98	Professional	TC	$85.11	$123.03	$194.98
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 $57.54 / $165.96 / $251.19	Professional		$57.54	$165.96	$251.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $24.55 / $37.15	Professional	26	$9.55	$24.55	$37.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $89.13 / $316.23	Professional	TC	$45.71	$89.13	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $190.55	Professional		$54.95	$102.33	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.60 / $30.20	Professional	26	$8.91	$16.60	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $85.11 / $162.18	Professional	TC	$46.77	$85.11	$162.18