Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.77 / $26.77 / $26.77	Facility	26	$26.77	$26.77	$26.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $102.71 / $149.54	Professional		$81.83	$102.71	$149.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.03 / $26.37 / $43.07	Professional	26	$23.03	$26.37	$43.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.07 / $76.40 / $109.61	Professional	TC	$59.07	$76.40	$109.61
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Facility	26	$21.88	$21.88	$21.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.95 / $289.20 / $350.76	Professional		$172.95	$289.20	$350.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.42 / $75.44 / $91.50	Professional	26	$45.42	$75.44	$91.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.57 / $213.76 / $259.26	Professional	TC	$144.57	$213.76	$259.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.11 / $89.97 / $221.25	Facility	26	$53.11	$89.97	$221.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.43 / $193.36 / $323.66	Professional		$103.43	$193.36	$323.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.25 / $49.63 / $83.76	Professional	26	$28.25	$49.63	$83.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.45 / $143.72 / $240.59	Professional	TC	$73.45	$143.72	$240.59
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $47.29 / $81.09 / $174.21	Facility	26	$47.29	$81.09	$174.21
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $152.25 / $180.21 / $307.35	Professional		$152.25	$180.21	$307.35
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $39.08 / $46.25 / $78.89	Professional	26	$39.08	$46.25	$78.89
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $113.17 / $133.96 / $228.46	Professional	TC	$113.17	$133.96	$228.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $164.57 / $642.13	Professional		$96.72	$164.57	$642.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.51 / $50.24 / $167.46	Professional	26	$28.51	$50.24	$167.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $68.20 / $113.59 / $474.67	Professional	TC	$68.20	$113.59	$474.67
United Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $159.16 / $309.75	Professional		$96.72	$159.16	$309.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.41 / $45.97 / $82.71	Professional	26	$27.41	$45.97	$82.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.52 / $110.48 / $207.96	Professional	TC	$67.52	$110.48	$207.96