Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $104.71 / $177.83	Facility	26	$104.71	$104.71	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $478.63 / $1,698.24	Professional		$229.09	$478.63	$1,698.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $173.78 / $501.19	Professional	26	$100.00	$173.78	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $398.11 / $1,000.00	Professional	TC	$302.00	$398.11	$1,000.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $87.10 / $87.10	Facility	26	$74.13	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,479.11	Professional		$676.08	$1,023.29	$1,479.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $245.47 / $363.08	Professional	26	$165.96	$245.47	$363.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $512.86 / $794.33 / $1,122.02	Professional	TC	$512.86	$794.33	$1,122.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $323.59 / $891.25	Facility	26	$83.18	$323.59	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,412.54	Professional		$588.84	$812.83	$1,412.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $190.55 / $316.23	Professional	26	$109.65	$190.55	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $616.60 / $1,096.48	Professional	TC	$467.74	$616.60	$1,096.48
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $363.08 / $691.83	Facility	26	$288.40	$363.08	$691.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,122.02	Professional		$630.96	$630.96	$1,122.02
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $151.36 / $239.88	Professional	26	$151.36	$151.36	$239.88
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $489.78 / $812.83	Professional	TC	$489.78	$489.78	$812.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,071.52 / $6,025.60	Professional		$524.81	$1,071.52	$6,025.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $218.78 / $676.08	Professional	26	$109.65	$218.78	$676.08
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $758.58 / $5,495.41	Professional	TC	$380.19	$758.58	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $912.01 / $1,513.56	Professional		$489.78	$912.01	$1,513.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $181.97 / $331.13	Professional	26	$107.15	$181.97	$331.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $724.44 / $1,230.27	Professional	TC	$380.19	$724.44	$1,230.27