Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $77.62	Facility	26	$72.44	$72.44	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $912.01	Professional		$251.19	$426.58	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $114.82 / $245.47	Professional	26	$72.44	$114.82	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $288.40 / $588.84	Professional	TC	$181.97	$288.40	$588.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $58.88 / $58.88	Facility	26	$51.29	$58.88	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $891.25	Professional		$407.38	$616.60	$891.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $169.82 / $251.19	Professional	26	$114.82	$169.82	$251.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $457.09 / $645.65	Professional	TC	$295.12	$457.09	$645.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $223.87 / $616.60	Facility	26	$57.54	$223.87	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $977.24	Professional		$380.19	$489.78	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $134.90 / $218.78	Professional	26	$66.07	$134.90	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $354.81 / $758.58	Professional	TC	$281.84	$354.81	$758.58
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $251.19 / $489.78	Facility	26	$199.53	$251.19	$489.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $776.25	Professional		$380.19	$380.19	$776.25
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $104.71 / $165.96	Professional	26	$104.71	$104.71	$165.96
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $281.84 / $562.34	Professional	TC	$281.84	$281.84	$562.34
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 $281.84 / $602.56 / $3,090.30	Professional		$281.84	$602.56	$3,090.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $114.82 / $870.96	Professional	26	$66.07	$114.82	$870.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $489.78 / $2,754.23	Professional	TC	$204.17	$489.78	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $588.84 / $870.96	Professional		$281.84	$588.84	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $107.15 / $218.78	Professional	26	$66.07	$107.15	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $446.68 / $724.44	Professional	TC	$204.17	$446.68	$724.44