Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	26	$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $131.83	Professional		$85.11	$107.15	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $75.86 / $93.33	Professional	26	$63.10	$75.86	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $38.02	Professional	TC	$19.05	$30.20	$38.02
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	26	$69.18	$69.18	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $363.08	Professional		$151.36	$251.19	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $181.97 / $263.03	Professional	26	$107.15	$181.97	$263.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $72.44 / $100.00	Professional	TC	$41.69	$72.44	$100.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $251.19 / $288.40	Facility	26	$177.83	$251.19	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $245.47 / $416.87	Professional		$100.00	$245.47	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $177.83 / $302.00	Professional	26	$75.86	$177.83	$302.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $69.18 / $114.82	Professional	TC	$26.30	$69.18	$114.82
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $223.87 / $467.74	Facility	26	$177.83	$223.87	$467.74
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $354.81	Professional		$158.49	$263.03	$354.81
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $190.55 / $257.04	Professional	26	$114.82	$190.55	$257.04
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $74.13 / $100.00	Professional	TC	$41.69	$74.13	$100.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	26	$346.74	$346.74	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $181.97 / $407.38	Professional		$93.33	$181.97	$407.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $125.89 / $295.12	Professional	26	$70.79	$125.89	$295.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $39.81 / $104.71	Professional	TC	$20.42	$39.81	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $302.00	Professional		$93.33	$154.88	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $117.49 / $223.87	Professional	26	$70.79	$117.49	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $39.81 / $81.28	Professional	TC	$23.44	$39.81	$81.28