Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.29 / $10.29 / $10.29	Facility	26	$10.29	$10.29	$10.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $36.36 / $142.16	Professional		$29.50	$36.36	$142.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.76 / $10.29 / $24.56	Professional	26	$8.76	$10.29	$24.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.18 / $25.40 / $36.59	Professional	TC	$20.18	$25.40	$36.59
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.35 / $8.35 / $8.35	Facility	26	$8.35	$8.35	$8.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $100.59 / $122.00	Professional		$60.56	$100.59	$122.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.47 / $29.01 / $35.19	Professional	26	$17.47	$29.01	$35.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.06 / $71.56 / $86.81	Professional	TC	$46.06	$71.56	$86.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.00 / $33.88 / $83.33	Facility	26	$20.00	$33.88	$83.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.96 / $67.03 / $110.95	Professional		$38.96	$67.03	$110.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.14 / $18.69 / $31.54	Professional	26	$12.14	$18.69	$31.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $48.34 / $80.91	Professional	TC	$26.89	$48.34	$80.91
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $17.80 / $30.54 / $65.61	Facility	26	$17.80	$30.54	$65.61
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $62.47 / $106.55	Professional		$52.78	$62.47	$106.55
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $14.72 / $17.42 / $29.71	Professional	26	$14.72	$17.42	$29.71
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $38.06 / $45.05 / $76.84	Professional	TC	$38.06	$45.05	$76.84
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 $34.65 / $60.86 / $223.92	Professional		$34.65	$60.86	$223.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $20.78 / $92.47	Professional	26	$11.19	$20.78	$92.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.46 / $39.04 / $211.00	Professional	TC	$23.46	$39.04	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $55.09 / $105.64	Professional		$34.65	$55.09	$105.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $19.34 / $34.11	Professional	26	$11.19	$19.34	$34.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.46 / $37.29 / $71.52	Professional	TC	$23.46	$37.29	$71.52