Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.16 / $48.16 / $81.87	Facility	26	$48.16	$48.16	$81.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $221.44 / $1,375.60	Professional		$108.90	$221.44	$1,375.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $51.57 / $220.95	Professional	26	$43.82	$51.57	$220.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.21 / $177.61 / $221.14	Professional	TC	$100.21	$177.61	$221.14
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $39.45 / $39.45 / $39.45	Facility	26	$39.45	$39.45	$39.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.76 / $479.74 / $581.86	Professional		$284.76	$479.74	$581.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.52 / $135.41 / $164.23	Professional	26	$81.52	$135.41	$164.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $237.58 / $344.33 / $417.62	Professional	TC	$237.58	$344.33	$417.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.61 / $164.83 / $396.53	Facility	26	$105.61	$164.83	$396.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.73 / $319.04 / $599.91	Professional		$235.73	$319.04	$599.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.56 / $88.94 / $151.05	Professional	26	$55.56	$88.94	$151.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.12 / $230.10 / $446.06	Professional	TC	$173.12	$230.10	$446.06
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $91.52 / $145.33 / $312.23	Facility	26	$91.52	$145.33	$312.23
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $251.21 / $324.47 / $533.54	Professional		$251.21	$324.47	$533.54
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.04 / $83.99 / $141.38	Professional	26	$70.04	$83.99	$141.38
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $181.18 / $234.01 / $406.52	Professional	TC	$181.18	$234.01	$406.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $442.24 / $442.24 / $442.24	Facility	26	$442.24	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.68 / $358.02 / $1,378.78	Professional		$199.68	$358.02	$1,378.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.12 / $100.64 / $300.10	Professional	26	$55.12	$100.64	$300.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $143.04 / $251.73 / $1,103.98	Professional	TC	$143.04	$251.73	$1,103.98
United Facility/Professional Professional Modifier Low / Median / High Price $181.53 / $310.42 / $582.53	Professional		$181.53	$310.42	$582.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.95 / $85.19 / $156.40	Professional	26	$50.95	$85.19	$156.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.28 / $232.42 / $421.57	Professional	TC	$130.28	$232.42	$421.57