Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.67 / $17.67 / $17.67	Facility	26	$17.67	$17.67	$17.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $75.22 / $158.03	Professional		$61.64	$75.22	$158.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $17.34 / $27.91	Professional	26	$14.56	$17.34	$27.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.00 / $54.32 / $92.48	Professional	TC	$46.00	$54.32	$92.48
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $14.40 / $14.40 / $14.40	Facility	26	$14.40	$14.40	$14.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.76 / $230.20 / $279.20	Professional		$139.76	$230.20	$279.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.70 / $49.33 / $59.83	Professional	26	$29.70	$49.33	$59.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.94 / $180.87 / $219.37	Professional	TC	$120.94	$180.87	$219.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.49 / $58.42 / $143.66	Facility	26	$34.49	$58.42	$143.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $156.62 / $259.25	Professional		$77.17	$156.62	$259.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $32.22 / $53.94	Professional	26	$19.57	$32.22	$53.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.05 / $124.39 / $205.90	Professional	TC	$58.05	$124.39	$205.90
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $30.71 / $52.66 / $113.13	Facility	26	$30.71	$52.66	$113.13
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $123.32 / $145.97 / $248.95	Professional		$123.32	$145.97	$248.95
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $25.38 / $30.04 / $51.23	Professional	26	$25.38	$30.04	$51.23
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $97.95 / $115.94 / $197.73	Professional	TC	$97.95	$115.94	$197.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.77 / $127.80 / $405.18	Professional		$75.77	$127.80	$405.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.77 / $32.34 / $109.02	Professional	26	$18.77	$32.34	$109.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $57.94 / $94.71 / $398.67	Professional	TC	$57.94	$94.71	$398.67
United Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $123.70 / $246.97	Professional		$75.59	$123.70	$246.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.77 / $31.11 / $57.23	Professional	26	$18.77	$31.11	$57.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.15 / $92.11 / $196.93	Professional	TC	$57.15	$92.11	$196.93