Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.41 / $26.41 / $26.41	Facility	26	$26.41	$26.41	$26.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $110.32 / $530.00	Professional		$86.06	$110.32	$530.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.03 / $27.39 / $75.89	Professional	26	$23.03	$27.39	$75.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $74.78 / $120.92	Professional	TC	$61.40	$74.78	$120.92
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $21.60 / $21.60 / $21.60	Facility	26	$21.60	$21.60	$21.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.35 / $280.83 / $375.39	Professional		$186.35	$280.83	$375.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.84 / $67.58 / $90.33	Professional	26	$44.84	$67.58	$90.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $149.83 / $225.94 / $285.06	Professional	TC	$149.83	$225.94	$285.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.40 / $89.58 / $215.50	Facility	26	$57.40	$89.58	$215.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $208.18 / $344.15	Professional		$124.05	$208.18	$344.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.86 / $48.34 / $79.91	Professional	26	$33.86	$48.34	$79.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.29 / $159.84 / $262.02	Professional	TC	$87.29	$159.84	$262.02
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $49.74 / $78.98 / $169.69	Facility	26	$49.74	$78.98	$169.69
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $163.92 / $163.92 / $308.47	Professional		$163.92	$163.92	$308.47
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $38.06 / $38.06 / $71.63	Professional	26	$38.06	$38.06	$71.63
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $125.86 / $125.86 / $236.84	Professional	TC	$125.86	$125.86	$236.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $116.58 / $116.58 / $116.58	Facility	26	$116.58	$116.58	$116.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.85 / $201.24 / $570.08	Professional		$115.85	$201.24	$570.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.54 / $52.73 / $138.16	Professional	26	$29.54	$52.73	$138.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $87.70 / $136.08 / $434.79	Professional	TC	$87.70	$136.08	$434.79
United Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $187.14 / $371.73	Professional		$108.88	$187.14	$371.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.40 / $49.97 / $88.22	Professional	26	$29.40	$49.97	$88.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.32 / $128.34 / $291.98	Professional	TC	$83.32	$128.34	$291.98