Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $1,096.48	Professional		$275.42	$426.58	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $123.03 / $229.09	Professional	26	$70.79	$123.03	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $323.59 / $630.96	Professional	TC	$204.17	$323.59	$630.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $57.54 / $57.54	Facility	26	$50.12	$57.54	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $954.99	Professional		$436.52	$645.65	$954.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $165.96 / $251.19	Professional	26	$112.20	$165.96	$251.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $501.19 / $707.95	Professional	TC	$323.59	$501.19	$707.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $218.78 / $602.56	Facility	26	$56.23	$218.78	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $977.24	Professional		$371.54	$524.81	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $131.83 / $218.78	Professional	26	$74.13	$131.83	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $389.05 / $776.25	Professional	TC	$288.40	$389.05	$776.25
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $245.47 / $478.63	Facility	26	$194.98	$245.47	$478.63
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $831.76	Professional		$407.38	$407.38	$831.76
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $102.33 / $162.18	Professional	26	$102.33	$102.33	$162.18
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $309.03 / $616.60	Professional	TC	$309.03	$309.03	$616.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $630.96 / $2,884.03	Professional		$323.59	$630.96	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $131.83 / $549.54	Professional	26	$72.44	$131.83	$549.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $478.63 / $2,511.89	Professional	TC	$239.88	$478.63	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $954.99	Professional		$316.23	$575.44	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $125.89 / $223.87	Professional	26	$74.13	$125.89	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $436.52 / $741.31	Professional	TC	$239.88	$436.52	$741.31