Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.34 / $38.34 / $65.17	Facility	26	$38.34	$38.34	$65.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $95.84 / $689.70	Professional		$73.76	$95.84	$689.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.07 / $38.34 / $171.00	Professional	26	$34.07	$38.34	$171.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.36 / $49.65 / $192.00	Professional	TC	$36.36	$49.65	$192.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $31.38 / $31.38 / $31.38	Facility	26	$31.38	$31.38	$31.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.79 / $226.33 / $274.51	Professional		$134.79	$226.33	$274.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.54 / $108.33 / $131.38	Professional	26	$65.54	$108.33	$131.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.03 / $118.00 / $143.12	Professional	TC	$83.03	$118.00	$143.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.18 / $131.38 / $316.07	Facility	26	$84.18	$131.38	$316.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $153.40 / $263.33	Professional		$97.02	$153.40	$263.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.64 / $70.90 / $118.68	Professional	26	$42.64	$70.90	$118.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.34 / $82.50 / $144.94	Professional	TC	$49.34	$82.50	$144.94
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $115.84 / $248.88	Facility	26	$72.95	$115.84	$248.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $120.79 / $142.97 / $243.83	Professional		$120.79	$142.97	$243.83
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $55.83 / $66.08 / $112.70	Professional	26	$55.83	$66.08	$112.70
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $64.95 / $76.89 / $131.13	Professional	TC	$64.95	$76.89	$131.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $145.07 / $726.00	Professional		$80.59	$145.07	$726.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $77.43 / $238.39	Professional	26	$40.78	$77.43	$238.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.04 / $62.10 / $780.59	Professional	TC	$35.04	$62.10	$780.59
United Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $130.69 / $242.13	Professional		$73.26	$130.69	$242.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.04 / $67.83 / $124.33	Professional	26	$40.04	$67.83	$124.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $58.92 / $115.83	Professional	TC	$32.47	$58.92	$115.83