Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $77.62 / $114.82	Facility	26	$74.13	$77.62	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $1,071.52	Professional		$338.84	$489.78	$1,071.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $77.62 / $234.42	Professional	26	$64.57	$77.62	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $389.05 / $794.33	Professional	TC	$269.15	$389.05	$794.33
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $64.57 / $64.57	Facility	26	$56.23	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,513.56	Professional		$707.95	$1,000.00	$1,513.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $177.83 / $269.15	Professional	26	$125.89	$177.83	$269.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $870.96 / $1,258.93	Professional	TC	$602.56	$870.96	$1,258.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $275.42 / $660.69	Facility	26	$194.98	$275.42	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,288.25	Professional		$660.69	$831.76	$1,288.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $141.25 / $223.87	Professional	26	$112.20	$141.25	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $549.54 / $691.83 / $1,071.52	Professional	TC	$549.54	$691.83	$1,071.52
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $263.03 / $524.81	Facility	26	$213.80	$263.03	$524.81
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,023.29	Professional		$645.65	$645.65	$1,023.29
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $173.78	Professional	26	$112.20	$112.20	$173.78
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $537.03 / $851.14	Professional	TC	$537.03	$537.03	$851.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	26	$186.21	$186.21	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $1,621.81	Professional		$489.78	$870.96	$1,621.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $147.91 / $389.05	Professional	26	$81.28	$147.91	$389.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $741.31 / $1,348.96	Professional	TC	$407.38	$741.31	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $1,479.11	Professional		$501.19	$891.25	$1,479.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $147.91 / $245.47	Professional	26	$87.10	$147.91	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $758.58 / $1,230.27	Professional	TC	$407.38	$758.58	$1,230.27