Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.58 / $9.58 / $9.58	Facility	26	$9.58	$9.58	$9.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $34.47 / $67.98	Professional		$27.55	$34.47	$67.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $9.58 / $22.05	Professional	26	$7.99	$9.58	$22.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $24.71 / $47.95	Professional	TC	$19.57	$24.71	$47.95
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.77 / $7.77 / $7.77	Facility	26	$7.77	$7.77	$7.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $97.69 / $118.48	Professional		$58.23	$97.69	$118.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $27.08 / $32.85	Professional	26	$16.30	$27.08	$32.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.35 / $70.61 / $85.64	Professional	TC	$48.35	$70.61	$85.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $31.55 / $77.58	Facility	26	$18.62	$31.55	$77.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $64.45 / $106.69	Professional		$36.60	$64.45	$106.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $17.39 / $29.37	Professional	26	$10.80	$17.39	$29.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.35 / $47.05 / $78.76	Professional	TC	$25.35	$47.05	$78.76
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $28.43 / $61.09	Facility	26	$16.57	$28.43	$61.09
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $60.07 / $102.45	Professional		$50.75	$60.07	$102.45
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $16.22 / $27.66	Professional	26	$13.70	$16.22	$27.66
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $37.04 / $43.85 / $74.79	Professional	TC	$37.04	$43.85	$74.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $56.42 / $217.42	Professional		$33.20	$56.42	$217.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $18.91 / $72.64	Professional	26	$10.47	$18.91	$72.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.73 / $38.32 / $199.00	Professional	TC	$22.73	$38.32	$199.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $52.68 / $101.22	Professional		$32.46	$52.68	$101.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $18.07 / $31.92	Professional	26	$10.47	$18.07	$31.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.59 / $34.77 / $70.38	Professional	TC	$21.59	$34.77	$70.38