Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.08 / $24.08 / $24.08	Facility	26	$24.08	$24.08	$24.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $82.34 / $344.25	Professional		$42.06	$82.34	$344.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $24.12 / $94.81	Professional	26	$17.48	$24.12	$94.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $28.53 / $89.00	Professional	TC	$20.30	$28.53	$89.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.57 / $19.57 / $19.57	Facility	26	$19.57	$19.57	$19.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.22 / $129.88 / $173.62	Professional		$82.22	$129.88	$173.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.77 / $60.55 / $80.94	Professional	26	$40.77	$60.55	$80.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.33 / $74.56 / $92.67	Professional	TC	$49.33	$74.56	$92.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.04 / $81.22 / $195.39	Facility	26	$52.04	$81.22	$195.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $96.68 / $161.83	Professional		$76.13	$96.68	$161.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.51 / $44.47 / $72.90	Professional	26	$26.51	$44.47	$72.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.11 / $52.21 / $96.08	Professional	TC	$41.11	$52.21	$96.08
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $45.10 / $74.12 / $153.85	Facility	26	$45.10	$74.12	$153.85
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $76.13 / $153.68	Professional		$76.13	$76.13	$153.68
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $35.02 / $35.02 / $65.90	Professional	26	$35.02	$35.02	$65.90
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $41.11 / $41.11 / $79.79	Professional	TC	$41.11	$41.11	$79.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $115.00 / $115.00 / $115.00	Facility	26	$115.00	$115.00	$115.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $113.55 / $385.44	Professional		$59.33	$113.55	$385.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $49.49 / $232.81	Professional	26	$25.26	$49.49	$232.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.21 / $48.00 / $398.91	Professional	TC	$26.21	$48.00	$398.91
United Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $90.10 / $172.80	Professional		$53.57	$90.10	$172.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $44.77 / $79.70	Professional	26	$25.26	$44.77	$79.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.21 / $45.28 / $86.40	Professional	TC	$26.21	$45.28	$86.40