Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.12 / $46.12 / $46.12	Facility	26	$46.12	$46.12	$46.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $121.66 / $187.19	Professional		$84.42	$121.66	$187.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $40.97 / $75.00	Professional	26	$15.71	$40.97	$75.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.02 / $67.09 / $161.07	Professional	TC	$44.02	$67.09	$161.07
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.72 / $37.72 / $37.72	Facility	26	$37.72	$37.72	$37.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.56 / $274.41 / $339.03	Professional		$151.56	$274.41	$339.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.19 / $131.54 / $159.54	Professional	26	$79.19	$131.54	$159.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $101.34 / $147.97 / $179.48	Professional	TC	$101.34	$147.97	$179.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.35 / $153.07 / $376.41	Facility	26	$90.35	$153.07	$376.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $183.69 / $370.82	Professional		$128.90	$183.69	$370.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.13 / $85.08 / $140.63	Professional	26	$27.13	$85.08	$140.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.31 / $98.61 / $225.82	Professional	TC	$77.31	$98.61	$225.82
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $80.45 / $137.96 / $296.39	Facility	26	$80.45	$137.96	$296.39
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $171.20 / $291.98	Professional		$144.63	$171.20	$291.98
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $66.98 / $79.29 / $135.22	Professional	26	$66.98	$79.29	$135.22
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $77.65 / $91.91 / $156.75	Professional	TC	$77.65	$91.91	$156.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $205.87 / $205.87 / $205.87	Facility	26	$205.87	$205.87	$205.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $198.75 / $2,899.89	Professional		$109.71	$198.75	$2,899.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.90 / $63.75 / $425.60	Professional	26	$23.90	$63.75	$425.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $65.06 / $128.81 / $2,808.09	Professional	TC	$65.06	$128.81	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $174.44 / $362.82	Professional		$109.71	$174.44	$362.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.49 / $54.78 / $151.83	Professional	26	$22.49	$54.78	$151.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.91 / $119.44 / $203.04	Professional	TC	$59.91	$119.44	$203.04