Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.48 / $9.48 / $14.22	Facility	26	$9.48	$9.48	$14.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $60.81 / $249.29	Professional		$52.39	$60.81	$249.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $9.46 / $38.00	Professional	26	$7.66	$9.46	$38.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.84 / $28.93 / $37.97	Professional	52	$22.84	$28.93	$37.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.71 / $49.54 / $89.08	Professional	TC	$43.71	$49.54	$89.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.20 / $7.20 / $7.51	Facility	26	$7.20	$7.20	$7.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $150.41 / $199.43	Professional		$84.51	$150.41	$199.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.98 / $23.01 / $30.50	Professional	26	$12.98	$23.01	$30.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.97 / $132.36 / $168.93	Professional	TC	$75.97	$132.36	$168.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.13 / $29.86 / $71.83	Facility	26	$19.13	$29.86	$71.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $157.07 / $244.59	Professional		$96.29	$157.07	$244.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.19 / $23.10 / $35.97	Professional	26	$14.19	$23.10	$35.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.00 / $133.97 / $208.62	Professional	TC	$80.00	$133.97	$208.62
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $27.25 / $56.56	Facility	26	$16.57	$27.25	$56.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $147.88 / $221.00	Professional		$96.29	$147.88	$221.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $14.16 / $21.75 / $32.50	Professional	26	$14.16	$21.75	$32.50
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $82.13 / $126.14 / $188.50	Professional	TC	$82.13	$126.14	$188.50
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 $63.12 / $180.42 / $252.03	Professional		$63.12	$180.42	$252.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $25.85 / $36.17	Professional	26	$11.18	$25.85	$36.17
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $49.44 / $94.08 / $210.87	Professional	TC	$49.44	$94.08	$210.87
United Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $103.16 / $210.52	Professional		$57.56	$103.16	$210.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $17.35 / $33.60	Professional	26	$9.38	$17.35	$33.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $88.21 / $163.53	Professional	TC	$48.00	$88.21	$163.53