Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.11 / $56.11 / $56.11	Facility	26	$56.11	$56.11	$56.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.40 / $272.44 / $448.61	Professional		$223.40	$272.44	$448.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $56.96 / $208.00	Professional	26	$50.07	$56.96	$208.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.65 / $217.46 / $333.10	Professional	TC	$168.65	$217.46	$333.10
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $46.07 / $46.07 / $46.07	Facility	26	$46.07	$46.07	$46.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.81 / $681.89 / $827.04	Professional		$401.81	$681.89	$827.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.92 / $157.66 / $191.22	Professional	26	$94.92	$157.66	$191.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $358.52 / $524.23 / $635.82	Professional	TC	$358.52	$524.23	$635.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.45 / $191.11 / $459.74	Facility	26	$122.45	$191.11	$459.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.27 / $450.52 / $754.13	Professional		$312.27	$450.52	$754.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.57 / $103.77 / $178.13	Professional	26	$62.57	$103.77	$178.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $241.19 / $346.75 / $580.42	Professional	TC	$241.19	$346.75	$580.42
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $106.11 / $168.50 / $362.00	Facility	26	$106.11	$168.50	$362.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $354.74 / $441.21 / $688.58	Professional		$354.74	$441.21	$688.58
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $81.70 / $101.62 / $164.94	Professional	26	$81.70	$101.62	$164.94
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $273.04 / $339.59 / $551.17	Professional	TC	$273.04	$339.59	$551.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $514.88 / $514.88 / $514.88	Facility	26	$514.88	$514.88	$514.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $253.03 / $444.24 / $1,817.09	Professional		$253.03	$444.24	$1,817.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $113.32 / $364.90	Professional	26	$59.19	$113.32	$364.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $189.04 / $335.84 / $1,526.12	Professional	TC	$189.04	$335.84	$1,526.12
United Facility/Professional Professional Modifier Low / Median / High Price $245.77 / $416.03 / $750.00	Professional		$245.77	$416.03	$750.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $104.78 / $276.81	Professional	26	$59.19	$104.78	$276.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.58 / $317.77 / $614.58	Professional	TC	$186.58	$317.77	$614.58