Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.19 / $8.19 / $13.92	Facility	26	$8.19	$8.19	$13.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $33.90 / $132.13	Professional		$23.79	$33.90	$132.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $9.57 / $41.80	Professional	26	$7.00	$9.57	$41.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.52 / $86.52 / $86.52	Professional	50	$86.52	$86.52	$86.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $23.48 / $48.86	Professional	TC	$18.82	$23.48	$48.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $6.61 / $6.61	Facility	26	$6.61	$6.61	$6.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $94.78 / $114.96	Professional		$57.07	$94.78	$114.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $23.21 / $28.15	Professional	26	$13.97	$23.21	$28.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.63 / $71.56 / $86.81	Professional	TC	$45.63	$71.56	$86.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.86 / $26.87 / $66.09	Facility	26	$15.86	$26.87	$66.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $63.16 / $104.55	Professional		$31.80	$63.16	$104.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $14.82 / $25.02	Professional	26	$8.81	$14.82	$25.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.82 / $48.34 / $80.01	Professional	TC	$22.82	$48.34	$80.01
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $24.22 / $52.04	Facility	26	$14.13	$24.22	$52.04
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $58.87 / $100.40	Professional		$49.74	$58.87	$100.40
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.67 / $13.82 / $23.56	Professional	26	$11.67	$13.82	$23.56
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 $31.76 / $56.88 / $206.66	Professional		$31.76	$56.88	$206.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $17.28 / $75.59	Professional	26	$9.27	$17.28	$75.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $37.90 / $161.00	Professional	TC	$21.94	$37.90	$161.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $50.15 / $107.64	Professional		$30.17	$50.15	$107.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $14.31 / $26.40	Professional	26	$8.66	$14.31	$26.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $38.32 / $74.12	Professional	TC	$21.94	$38.32	$74.12