Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.77 / $71.77 / $578.13	Facility	26	$71.77	$71.77	$578.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.58 / $475.00 / $2,139.40	Professional		$208.58	$475.00	$2,139.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.15 / $140.00 / $388.00	Professional	26	$68.15	$140.00	$388.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $101.76 / $117.18 / $300.00	Professional	52	$101.76	$117.18	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $129.40 / $297.20 / $433.00	Professional	TC	$129.40	$297.20	$433.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	26	$58.74	$58.74	$58.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.92 / $570.66 / $692.13	Professional		$338.92	$570.66	$692.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $121.71 / $202.15 / $245.18	Professional	26	$121.71	$202.15	$245.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $255.54 / $368.51 / $446.95	Professional	TC	$255.54	$368.51	$446.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $156.12 / $243.66 / $586.16	Facility	26	$156.12	$243.66	$586.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.39 / $401.34 / $996.52	Professional		$297.39	$401.34	$996.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.92 / $132.13 / $231.00	Professional	26	$80.92	$132.13	$231.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $193.36 / $265.43 / $769.62	Professional	TC	$193.36	$265.43	$769.62
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $135.29 / $214.83 / $461.55	Facility	26	$135.29	$214.83	$461.55
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $297.39 / $389.57 / $968.34	Professional		$297.39	$389.57	$968.34
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $104.04 / $132.57 / $210.02	Professional	26	$104.04	$132.57	$210.02
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $193.36 / $253.29 / $762.00	Professional	TC	$193.36	$253.29	$762.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $659.84 / $659.84 / $659.84	Facility	26	$659.84	$659.84	$659.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.04 / $553.74 / $3,145.84	Professional		$265.04	$553.74	$3,145.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.44 / $170.97 / $577.89	Professional	26	$89.44	$170.97	$577.89
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $197.66 / $327.37 / $538.01	Professional	52	$197.66	$327.37	$538.01
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $159.19 / $300.42 / $2,772.01	Professional	TC	$159.19	$300.42	$2,772.01
United Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $408.91 / $739.11	Professional		$220.87	$408.91	$739.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.15 / $126.89 / $232.17	Professional	26	$76.15	$126.89	$232.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.72 / $282.06 / $522.62	Professional	TC	$144.72	$282.06	$522.62