Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.06 / $66.06 / $99.09	Facility	26	$66.06	$66.06	$99.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.63 / $425.00 / $2,070.05	Professional		$148.63	$425.00	$2,070.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.42 / $140.00 / $277.36	Professional	26	$65.42	$140.00	$277.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $320.00 / $320.00 / $320.00	Professional	50	$320.00	$320.00	$320.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $107.68 / $123.88 / $300.00	Professional	52	$107.68	$123.88	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.66 / $335.00 / $844.61	Professional	TC	$155.66	$335.00	$844.61
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.84 / $53.84 / $53.84	Facility	26	$53.84	$53.84	$53.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.05 / $605.48 / $734.36	Professional		$361.05	$605.48	$734.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.22 / $184.74 / $224.06	Professional	26	$111.22	$184.74	$224.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $290.30 / $420.74 / $510.30	Professional	TC	$290.30	$420.74	$510.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $143.11 / $223.36 / $537.32	Facility	26	$143.11	$223.36	$537.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.70 / $425.65 / $993.02	Professional		$317.70	$425.65	$993.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.54 / $121.17 / $210.94	Professional	26	$72.54	$121.17	$210.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.29 / $299.98 / $812.79	Professional	TC	$222.29	$299.98	$812.79
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $124.02 / $196.93 / $423.09	Facility	26	$124.02	$196.93	$423.09
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $317.70 / $416.16 / $954.83	Professional		$317.70	$416.16	$954.83
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $95.41 / $121.68 / $192.61	Professional	26	$95.41	$121.68	$192.61
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $222.29 / $291.18 / $791.91	Professional	TC	$222.29	$291.18	$791.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $603.28 / $603.28 / $603.28	Facility	26	$603.28	$603.28	$603.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.20 / $561.39 / $2,789.74	Professional		$265.20	$561.39	$2,789.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.61 / $150.08 / $542.85	Professional	26	$75.61	$150.08	$542.85
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $979.37 / $979.37 / $979.37	Professional	50	$979.37	$979.37	$979.37
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $329.80 / $329.80 / $1,176.66	Professional	52	$329.80	$329.80	$1,176.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $178.52 / $330.11 / $2,451.15	Professional	TC	$178.52	$330.11	$2,451.15
United Facility/Professional Professional Modifier Low / Median / High Price $233.50 / $427.76 / $747.47	Professional		$233.50	$427.76	$747.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.08 / $116.26 / $220.19	Professional	26	$69.08	$116.26	$220.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.13 / $325.50 / $589.76	Professional	TC	$163.13	$325.50	$589.76