Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.98 / $29.22 / $49.38	Facility	26	$26.98	$29.22	$49.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $55.38 / $169.10	Professional		$46.42	$55.38	$169.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.77 / $33.96 / $76.54	Professional	26	$25.77	$33.96	$76.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $34.27 / $60.30 / $228.00	Professional	52	$34.27	$60.30	$228.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.65 / $25.61 / $63.19	Professional	TC	$20.65	$25.61	$63.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $23.90 / $23.90 / $23.90	Facility	26	$23.90	$23.90	$23.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $150.88 / $183.00	Professional		$91.43	$150.88	$183.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.50 / $81.25 / $98.54	Professional	26	$49.50	$81.25	$98.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.05 / $69.64 / $84.46	Professional	TC	$48.05	$69.64	$84.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.52 / $99.14 / $238.49	Facility	26	$63.52	$99.14	$238.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $101.19 / $169.38	Professional		$62.09	$101.19	$169.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.29 / $54.14 / $90.62	Professional	26	$33.29	$54.14	$90.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.79 / $47.05 / $77.88	Professional	TC	$28.79	$47.05	$77.88
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $55.05 / $90.47 / $187.79	Facility	26	$55.05	$90.47	$187.79
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $94.20 / $160.85	Professional		$79.68	$94.20	$160.85
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $42.63 / $49.45 / $86.06	Professional	26	$42.63	$49.45	$86.06
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $37.04 / $43.80 / $74.79	Professional	TC	$37.04	$43.80	$74.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $138.02 / $172.52	Professional		$62.32	$138.02	$172.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.90 / $64.87 / $88.81	Professional	26	$32.90	$64.87	$88.81
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $68.68 / $82.15 / $126.90	Professional	52	$68.68	$82.15	$126.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.78 / $46.73 / $91.36	Professional	TC	$27.78	$46.73	$91.36
United Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $99.79 / $203.14	Professional		$57.21	$99.79	$203.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.68 / $55.48 / $90.60	Professional	26	$30.68	$55.48	$90.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.26 / $44.01 / $77.01	Professional	TC	$25.26	$44.01	$77.01