Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.21 / $13.21 / $22.45	Facility	26	$13.21	$13.21	$22.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $47.12 / $253.89	Professional		$34.85	$47.12	$253.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.37 / $13.55 / $45.90	Professional	26	$11.37	$13.55	$45.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.36 / $22.10 / $33.52	Professional	52	$18.36	$22.10	$33.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $27.74 / $60.72	Professional	TC	$22.26	$27.74	$60.72
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.65 / $10.65 / $10.65	Facility	26	$10.65	$10.65	$10.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $131.54 / $159.54	Professional		$79.19	$131.54	$159.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.71 / $37.72 / $45.75	Professional	26	$22.71	$37.72	$45.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.54 / $93.82 / $113.79	Professional	TC	$61.54	$93.82	$113.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.21 / $44.40 / $109.19	Facility	26	$26.21	$44.40	$109.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $87.66 / $145.09	Professional		$45.12	$87.66	$145.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.59 / $24.49 / $41.33	Professional	26	$14.59	$24.49	$41.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.58 / $63.16 / $104.55	Professional	TC	$28.58	$63.16	$104.55
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $23.34 / $40.02 / $85.98	Facility	26	$23.34	$40.02	$85.98
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $81.70 / $139.33	Professional		$69.02	$81.70	$139.33
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.29 / $22.83 / $38.93	Professional	26	$19.29	$22.83	$38.93
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $49.74 / $58.87 / $100.40	Professional	TC	$49.74	$58.87	$100.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $80.33 / $290.45	Professional		$44.11	$80.33	$290.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $25.77 / $82.68	Professional	26	$14.07	$25.77	$82.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.13 / $42.20 / $207.72	Professional	TC	$28.13	$42.20	$207.72
United Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $61.12 / $136.44	Professional		$41.71	$61.12	$136.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $27.45 / $87.90	Professional	26	$14.07	$27.45	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.13 / $55.46 / $103.97	Professional	TC	$28.13	$55.46	$103.97