Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.04 / $12.04 / $12.04	Facility	26	$12.04	$12.04	$12.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $102.85 / $275.00	Professional		$73.28	$102.85	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $12.04 / $55.00	Professional	26	$10.02	$12.04	$55.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.25 / $90.81 / $220.00	Professional	TC	$63.25	$90.81	$220.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.78 / $9.78 / $9.78	Facility	26	$9.78	$9.78	$9.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.70 / $299.83 / $363.66	Professional		$174.70	$299.83	$363.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $33.85 / $41.06	Professional	26	$20.38	$33.85	$41.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.55 / $265.98 / $322.60	Professional	TC	$181.55	$265.98	$322.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.02 / $40.61 / $97.69	Facility	26	$26.02	$40.61	$97.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.93 / $196.58 / $409.16	Professional		$143.93	$196.58	$409.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.19 / $21.91 / $37.22	Professional	26	$12.19	$21.91	$37.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.28 / $174.67 / $368.16	Professional	TC	$128.28	$174.67	$368.16
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.55 / $35.81 / $76.93	Facility	26	$22.55	$35.81	$76.93
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $154.79 / $192.52 / $393.45	Professional		$154.79	$192.52	$393.45
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.26 / $20.42 / $34.83	Professional	26	$17.26	$20.42	$34.83
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $137.53 / $171.06 / $364.51	Professional	TC	$137.53	$171.06	$364.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $213.49 / $876.62	Professional		$117.50	$213.49	$876.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $22.39 / $270.04	Professional	26	$12.63	$22.39	$270.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $107.45 / $191.20 / $820.61	Professional	TC	$107.45	$191.20	$820.61
United Facility/Professional Professional Modifier Low / Median / High Price $116.21 / $199.16 / $368.68	Professional		$116.21	$199.16	$368.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $22.74 / $38.60	Professional	26	$12.63	$22.74	$38.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.58 / $186.44 / $334.99	Professional	TC	$103.58	$186.44	$334.99