Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.14 / $26.30	Facility	26	$15.14	$15.14	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $131.83	Professional		$33.11	$47.86	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $48.98	Professional	26	$12.02	$16.98	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.92 / $63.10	Professional	TC	$19.95	$26.92	$63.10
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $12.59 / $12.59	Facility	26	$10.96	$12.59	$12.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $147.91	Professional		$67.61	$100.00	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $36.31 / $53.70	Professional	26	$24.55	$36.31	$53.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $66.07 / $95.50	Professional	TC	$43.65	$66.07	$95.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $47.86 / $131.83	Facility	26	$12.30	$47.86	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $128.82	Professional		$48.98	$79.43	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $28.18 / $44.67	Professional	26	$16.60	$28.18	$44.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $51.29 / $85.11	Professional	TC	$30.20	$51.29	$85.11
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $52.48 / $104.71	Facility	26	$42.66	$52.48	$104.71
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $97.72	Professional		$63.10	$63.10	$97.72
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $22.39 / $34.67	Professional	26	$22.39	$22.39	$34.67
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $40.74 / $63.10	Professional	TC	$40.74	$40.74	$63.10
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 $40.74 / $75.86 / $389.05	Professional		$40.74	$75.86	$389.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $28.84 / $102.33	Professional	26	$15.85	$28.84	$102.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $46.77 / $302.00	Professional	TC	$24.55	$46.77	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $128.82	Professional		$40.74	$72.44	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $26.92 / $46.77	Professional	26	$15.85	$26.92	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $44.67 / $83.18	Professional	TC	$24.55	$44.67	$83.18