Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $81.28	Facility	26	$47.86	$47.86	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $630.96	Professional		$131.83	$218.78	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $64.57 / $190.55	Professional	26	$43.65	$64.57	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $120.23 / $309.03	Professional	TC	$83.18	$120.23	$309.03
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 $218.78 / $323.59 / $467.74	Professional		$218.78	$323.59	$467.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $112.20 / $165.96	Professional	26	$75.86	$112.20	$165.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $218.78 / $309.03	Professional	TC	$141.25	$218.78	$309.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $151.36 / $416.87	Facility	26	$38.02	$151.36	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $512.86	Professional		$194.98	$257.04	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $89.13 / $144.54	Professional	26	$53.70	$89.13	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $165.96 / $346.74	Professional	TC	$131.83	$165.96	$346.74
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $165.96 / $323.59	Facility	26	$134.90	$165.96	$323.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $416.87	Professional		$204.17	$204.17	$416.87
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $70.79 / $109.65	Professional	26	$70.79	$70.79	$109.65
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $131.83 / $323.59	Professional	TC	$131.83	$131.83	$323.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	26	$446.68	$446.68	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $338.84 / $1,621.81	Professional		$158.49	$338.84	$1,621.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $109.65 / $467.74	Professional	26	$56.23	$109.65	$467.74
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $234.42 / $1,318.26	Professional	TC	$107.15	$234.42	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $478.63	Professional		$158.49	$302.00	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $85.11 / $151.36	Professional	26	$51.29	$85.11	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $208.93 / $338.84	Professional	TC	$102.33	$208.93	$338.84