Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.79 / $40.79 / $61.18	Facility	26	$40.79	$40.79	$61.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.62 / $290.92 / $1,433.00	Professional		$229.62	$290.92	$1,433.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.97 / $40.79 / $185.10	Professional	26	$35.97	$40.79	$185.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.87 / $237.25 / $475.64	Professional	TC	$192.87	$237.25	$475.64
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $33.40 / $33.40 / $33.40	Facility	26	$33.40	$33.40	$33.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.08 / $659.61 / $947.86	Professional		$434.08	$659.61	$947.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.22 / $96.47 / $138.43	Professional	26	$65.22	$96.47	$138.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $368.86 / $605.54 / $809.44	Professional	TC	$368.86	$605.54	$809.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.70 / $138.55 / $333.31	Facility	26	$97.70	$138.55	$333.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.60 / $517.54 / $791.07	Professional		$411.60	$517.54	$791.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.97 / $75.41 / $115.26	Professional	26	$59.97	$75.41	$115.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $351.63 / $442.14 / $675.81	Professional	TC	$351.63	$442.14	$675.81
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $76.93 / $126.67 / $262.45	Facility	26	$76.93	$126.67	$262.45
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $407.52 / $407.52 / $739.16	Professional		$407.52	$407.52	$739.16
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $59.38 / $59.38 / $107.70	Professional	26	$59.38	$59.38	$107.70
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $348.15 / $348.15 / $631.46	Professional	TC	$348.15	$348.15	$631.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $311.08 / $494.63 / $1,109.41	Professional		$311.08	$494.63	$1,109.41
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.14 / $79.65 / $152.40	Professional	26	$47.14	$79.65	$152.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $267.42 / $413.52 / $953.67	Professional	TC	$267.42	$413.52	$953.67
United Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $478.46 / $948.45	Professional		$293.52	$478.46	$948.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.67 / $76.12 / $133.13	Professional	26	$43.67	$76.12	$133.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.87 / $413.51 / $816.06	Professional	TC	$245.87	$413.51	$816.06