Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.98 / $10.98 / $16.46	Facility	26	$10.98	$10.98	$16.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $66.48 / $280.25	Professional		$39.35	$66.48	$280.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $15.07 / $58.99	Professional	26	$9.78	$15.07	$58.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.26 / $45.65 / $74.12	Professional	TC	$27.26	$45.65	$74.12
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.35 / $8.35 / $8.71	Facility	26	$8.35	$8.35	$8.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $104.31 / $137.25	Professional		$59.25	$104.31	$137.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.00 / $26.74 / $35.19	Professional	26	$15.00	$26.74	$35.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.55 / $81.53 / $102.06	Professional	TC	$46.55	$81.53	$102.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.19 / $34.64 / $83.33	Facility	26	$22.19	$34.64	$83.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $108.10 / $168.33	Professional		$67.13	$108.10	$168.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $26.79 / $41.72	Professional	26	$16.64	$26.79	$41.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.34 / $81.31 / $126.61	Professional	TC	$50.34	$81.31	$126.61
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.23 / $31.61 / $65.61	Facility	26	$19.23	$31.61	$65.61
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $101.78 / $152.10	Professional		$66.27	$101.78	$152.10
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $16.43 / $25.23 / $37.70	Professional	26	$16.43	$25.23	$37.70
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $49.84 / $76.55 / $114.40	Professional	TC	$49.84	$76.55	$114.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $131.16 / $275.52	Professional		$64.84	$131.16	$275.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.13 / $31.73 / $57.99	Professional	26	$15.13	$31.73	$57.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $46.92 / $94.02 / $259.02	Professional	TC	$46.92	$94.02	$259.02
United Facility/Professional Professional Modifier Low / Median / High Price $54.41 / $108.64 / $197.82	Professional		$54.41	$108.64	$197.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.20 / $23.56 / $44.76	Professional	26	$13.20	$23.56	$44.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.88 / $83.28 / $159.85	Professional	TC	$39.88	$83.28	$159.85