Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $56.23 / $85.11	Facility	26	$52.48	$56.23	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $524.81	Professional		$112.20	$194.98	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $87.10 / $229.09	Professional	26	$52.48	$87.10	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $173.78 / $371.54	Professional	TC	$112.20	$173.78	$371.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $45.71 / $45.71	Facility	26	$39.81	$45.71	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $602.56	Professional		$275.42	$416.87	$602.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $131.83 / $194.98	Professional	26	$89.13	$131.83	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $295.12 / $416.87	Professional	TC	$190.55	$295.12	$416.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $173.78 / $478.63	Facility	26	$44.67	$173.78	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $588.84	Professional		$245.47	$331.13	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $104.71 / $169.82	Professional	26	$58.88	$104.71	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $223.87 / $416.87	Professional	TC	$173.78	$223.87	$416.87
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $194.98 / $380.19	Facility	26	$154.88	$194.98	$380.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $501.19	Professional		$257.04	$257.04	$501.19
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $128.82	Professional	26	$81.28	$81.28	$128.82
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $177.83 / $354.81	Professional	TC	$177.83	$177.83	$354.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	26	$512.86	$512.86	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $1,621.81	Professional		$204.17	$398.11	$1,621.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $114.82 / $380.19	Professional	26	$58.88	$114.82	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $288.40 / $1,348.96	Professional	TC	$141.25	$288.40	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $602.56	Professional		$194.98	$371.54	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $95.50 / $173.78	Professional	26	$57.54	$95.50	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $269.15 / $426.58	Professional	TC	$138.04	$269.15	$426.58