Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.04 / $12.04 / $12.04	Facility	26	$12.04	$12.04	$12.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $45.09 / $79.93	Professional		$36.82	$45.09	$79.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.97 / $19.22	Professional	26	$9.41	$10.97	$19.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.20 / $33.99 / $48.57	Professional	TC	$26.20	$33.99	$48.57
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.78 / $9.78 / $9.78	Facility	26	$9.78	$9.78	$9.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.03 / $129.61 / $157.19	Professional		$78.03	$129.61	$157.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $33.85 / $41.06	Professional	26	$20.38	$33.85	$41.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.38 / $95.76 / $116.14	Professional	TC	$62.38	$95.76	$116.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.45 / $39.72 / $97.69	Facility	26	$23.45	$39.72	$97.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $86.37 / $142.96	Professional		$48.23	$86.37	$142.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $21.91 / $36.68	Professional	26	$11.88	$21.91	$36.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.36 / $64.45 / $107.89	Professional	TC	$36.36	$64.45	$107.89
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $20.88 / $35.81 / $76.93	Facility	26	$20.88	$35.81	$76.93
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $80.48 / $137.28	Professional		$68.01	$80.48	$137.28
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.26 / $20.42 / $34.83	Professional	26	$17.26	$20.42	$34.83
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $50.75 / $60.07 / $102.45	Professional	TC	$50.75	$60.07	$102.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $103.00 / $103.00 / $103.00	Facility	26	$103.00	$103.00	$103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $74.23 / $286.68	Professional		$43.67	$74.23	$286.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.41 / $20.77 / $107.32	Professional	26	$12.41	$20.77	$107.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $54.28 / $267.00	Professional	TC	$31.04	$54.28	$267.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $69.13 / $135.22	Professional		$43.67	$69.13	$135.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.67 / $39.85	Professional	26	$12.02	$19.67	$39.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $56.38 / $105.04	Professional	TC	$31.04	$56.38	$105.04