Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.45 / $13.45 / $13.45	Facility	26	$13.45	$13.45	$13.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $56.24 / $213.00	Professional		$45.01	$56.24	$213.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.80 / $19.73 / $57.00	Professional	26	$11.80	$19.73	$57.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.74 / $42.47 / $133.19	Professional	TC	$32.74	$42.47	$133.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.94 / $10.94 / $10.94	Facility	26	$10.94	$10.94	$10.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $155.72 / $188.87	Professional		$94.34	$155.72	$188.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.71 / $36.76 / $44.58	Professional	26	$22.71	$36.76	$44.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.84 / $118.97 / $144.29	Professional	TC	$75.84	$118.97	$144.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.52 / $43.23 / $106.31	Facility	26	$25.52	$43.23	$106.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $105.06 / $173.90	Professional		$54.24	$105.06	$173.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $24.49 / $41.33	Professional	26	$16.27	$24.49	$41.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.06 / $80.56 / $133.36	Professional	TC	$39.06	$80.56	$133.36
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.73 / $38.96 / $83.71	Facility	26	$22.73	$38.96	$83.71
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $97.91 / $166.99	Professional		$82.72	$97.91	$166.99
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.29 / $22.83 / $38.93	Professional	26	$19.29	$22.83	$38.93
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $63.44 / $75.09 / $128.06	Professional	TC	$63.44	$75.09	$128.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.00 / $110.00 / $110.00	Facility	26	$110.00	$110.00	$110.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $98.41 / $343.08	Professional		$51.25	$98.41	$343.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.39 / $28.14 / $113.92	Professional	26	$15.39	$28.14	$113.92
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $37.00 / $59.26 / $259.85	Professional	TC	$37.00	$59.26	$259.85
United Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $81.48 / $156.25	Professional		$50.35	$81.48	$156.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $28.07 / $87.90	Professional	26	$14.07	$28.07	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.32 / $54.04 / $113.35	Professional	TC	$35.32	$54.04	$113.35