Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.19 / $15.19 / $25.67	Facility	26	$15.19	$15.19	$25.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $63.99 / $90.66	Professional		$36.44	$63.99	$90.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $13.54 / $31.17	Professional	26	$7.33	$13.54	$31.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.64 / $34.15 / $78.90	Professional	TC	$22.64	$34.15	$78.90
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.37 / $12.37 / $12.37	Facility	26	$12.37	$12.37	$12.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $123.81 / $150.16	Professional		$75.12	$123.81	$150.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.21 / $42.56 / $51.62	Professional	26	$26.21	$42.56	$51.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.93 / $81.25 / $98.54	Professional	TC	$56.93	$81.25	$98.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.14 / $50.17 / $120.68	Facility	26	$32.14	$50.17	$120.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $82.50 / $140.10	Professional		$59.27	$82.50	$140.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $27.71 / $45.82	Professional	26	$11.55	$27.71	$45.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.45 / $54.78 / $102.16	Professional	TC	$42.45	$54.78	$102.16
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $27.85 / $45.78 / $95.03	Facility	26	$27.85	$45.78	$95.03
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $76.89 / $131.13	Professional		$64.95	$76.89	$131.13
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.82 / $25.83 / $44.05	Professional	26	$21.82	$25.83	$44.05
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $43.14 / $51.06 / $87.08	Professional	TC	$43.14	$51.06	$87.08
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 $48.09 / $86.47 / $475.98	Professional		$48.09	$86.47	$475.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $22.69 / $211.35	Professional	26	$11.11	$22.69	$211.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.14 / $63.21 / $429.40	Professional	TC	$30.14	$63.21	$429.40
United Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $81.67 / $143.04	Professional		$43.89	$81.67	$143.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $18.77 / $48.41	Professional	26	$11.09	$18.77	$48.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.85 / $58.42 / $88.33	Professional	TC	$28.85	$58.42	$88.33