Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.79 / $78.79 / $78.79	Facility	26	$78.79	$78.79	$78.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.40 / $475.00 / $778.18	Professional		$334.40	$475.00	$778.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.79 / $128.24 / $246.35	Professional	26	$78.79	$128.24	$246.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $253.09 / $335.00 / $581.53	Professional	TC	$253.09	$335.00	$581.53
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $64.48 / $64.48 / $64.48	Facility	26	$64.48	$64.48	$64.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.22 / $936.27 / $1,135.56	Professional		$553.22	$936.27	$1,135.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $133.36 / $220.53 / $267.47	Professional	26	$133.36	$220.53	$267.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $493.85 / $715.74 / $868.09	Professional	TC	$493.85	$715.74	$868.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $170.66 / $266.36 / $640.76	Facility	26	$170.66	$266.36	$640.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.22 / $636.90 / $1,167.35	Professional		$488.22	$636.90	$1,167.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.87 / $145.66 / $247.37	Professional	26	$87.87	$145.66	$247.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $373.52 / $494.19 / $957.62	Professional	TC	$373.52	$494.19	$957.62
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $147.88 / $234.84 / $504.54	Facility	26	$147.88	$234.84	$504.54
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $488.22 / $639.54 / $1,016.16	Professional		$488.22	$639.54	$1,016.16
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $114.70 / $145.38 / $231.54	Professional	26	$114.70	$145.38	$231.54
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $373.52 / $489.29 / $804.74	Professional	TC	$373.52	$489.29	$804.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $720.40 / $720.40 / $720.40	Facility	26	$720.40	$720.40	$720.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $400.14 / $740.08 / $3,348.15	Professional		$400.14	$740.08	$3,348.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $83.73 / $155.13 / $597.70	Professional	26	$83.73	$155.13	$597.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $306.61 / $569.59 / $2,941.88	Professional	TC	$306.61	$569.59	$2,941.88
United Facility/Professional Professional Modifier Low / Median / High Price $372.08 / $699.75 / $1,238.76	Professional		$372.08	$699.75	$1,238.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.93 / $138.52 / $262.33	Professional	26	$81.93	$138.52	$262.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.35 / $522.36 / $960.00	Professional	TC	$288.35	$522.36	$960.00