Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $151.36	Professional		$52.48	$66.07	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $151.36	Professional	26	$38.02	$47.86	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.95 / $33.11	Professional	TC	$15.14	$19.95	$33.11
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $39.81 / $39.81	Facility	26	$34.67	$39.81	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $234.42	Professional		$107.15	$154.88	$234.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $109.65 / $165.96	Professional	26	$75.86	$109.65	$165.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $46.77 / $69.18	Professional	TC	$31.62	$46.77	$69.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $169.82 / $407.38	Facility	26	$120.23	$169.82	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $199.53	Professional		$100.00	$125.89	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $144.54	Professional	26	$70.79	$89.13	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $37.15 / $60.26	Professional	TC	$29.51	$37.15	$60.26
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $165.96 / $316.23	Facility	26	$131.83	$165.96	$316.23
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $154.88	Professional		$100.00	$100.00	$154.88
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $69.18 / $109.65	Professional	26	$69.18	$69.18	$109.65
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $29.51 / $45.71	Professional	TC	$29.51	$29.51	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $407.38	Professional		$72.44	$120.23	$407.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $407.38	Professional	26	$52.48	$85.11	$407.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $36.31 / $407.38	Professional	TC	$21.38	$36.31	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $218.78	Professional		$75.86	$123.03	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $87.10 / $154.88	Professional	26	$52.48	$87.10	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $37.15 / $64.57	Professional	TC	$22.91	$37.15	$64.57