Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.75 / $12.75 / $21.54	Facility	26	$12.75	$12.75	$21.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $57.62 / $251.30	Professional		$44.61	$57.62	$251.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $18.62 / $53.10	Professional	26	$11.21	$18.62	$53.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.44 / $41.37 / $85.41	Professional	TC	$32.44	$41.37	$85.41
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.65 / $10.65 / $10.65	Facility	26	$10.65	$10.65	$10.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $150.88 / $183.00	Professional		$90.85	$150.88	$183.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.13 / $35.78 / $43.40	Professional	26	$22.13	$35.78	$43.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.76 / $115.10 / $139.60	Professional	TC	$72.76	$115.10	$139.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.83 / $42.06 / $103.44	Facility	26	$24.83	$42.06	$103.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $101.19 / $167.50	Professional		$56.04	$101.19	$167.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.16 / $23.85 / $40.46	Professional	26	$16.16	$23.85	$40.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.15 / $77.34 / $129.46	Professional	TC	$40.15	$77.34	$129.46
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.11 / $37.90 / $81.45	Facility	26	$22.11	$37.90	$81.45
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $94.31 / $160.85	Professional		$79.68	$94.31	$160.85
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.78 / $22.23 / $37.90	Professional	26	$18.78	$22.23	$37.90
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $60.90 / $72.08 / $122.94	Professional	TC	$60.90	$72.08	$122.94
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 $53.38 / $98.08 / $330.09	Professional		$53.38	$98.08	$330.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $27.38 / $120.54	Professional	26	$14.79	$27.38	$120.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.72 / $63.24 / $292.00	Professional	TC	$35.72	$63.24	$292.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $86.40 / $149.63	Professional		$49.08	$86.40	$149.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.35 / $24.43 / $40.70	Professional	26	$13.35	$24.43	$40.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.72 / $58.95 / $110.63	Professional	TC	$35.72	$58.95	$110.63