Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $331.13	Professional		$107.15	$134.90	$331.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $112.20 / $239.88	Professional	TC	$87.10	$112.20	$239.88
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $19.95 / $19.95	Facility	26	$17.38	$19.95	$19.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $501.19	Professional		$229.09	$331.13	$501.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $288.40 / $416.87	Professional	TC	$190.55	$288.40	$416.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $72.44 / $199.53	Facility	26	$19.05	$72.44	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $245.47 / $426.58	Professional		$120.23	$245.47	$426.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $208.93 / $363.08	Professional	TC	$97.72	$208.93	$363.08
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $81.28 / $158.49	Facility	26	$64.57	$81.28	$158.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $338.84	Professional		$213.80	$213.80	$338.84
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $181.97 / $281.84	Professional	TC	$181.97	$181.97	$281.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $104.71 / $104.71	Facility	26	$104.71	$104.71	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $933.25	Professional		$117.49	$204.17	$933.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $162.18 / $776.25	Professional	TC	$93.33	$162.18	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $426.58	Professional		$120.23	$194.98	$426.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $154.88 / $354.81	Professional	TC	$97.72	$154.88	$354.81