Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.40 / $44.40 / $44.40	Facility	26	$44.40	$44.40	$44.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.02 / $393.75 / $405.12	Professional		$280.02	$393.75	$405.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.95 / $42.60 / $44.40	Professional	26	$30.95	$42.60	$44.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.07 / $351.12 / $360.73	Professional	TC	$249.07	$351.12	$360.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.91 / $994.24 / $1,531.87	Professional		$654.91	$994.24	$1,531.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.88 / $110.64 / $170.48	Professional	26	$72.88	$110.64	$170.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $582.03 / $935.57 / $1,361.39	Professional	TC	$582.03	$935.57	$1,361.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.43 / $335.76 / $402.27	Facility	26	$73.43	$335.76	$402.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.66 / $650.91 / $906.24	Professional		$517.66	$650.91	$906.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.82 / $73.95 / $102.97	Professional	26	$58.82	$73.95	$102.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $458.84 / $576.96 / $803.28	Professional	TC	$458.84	$576.96	$803.28
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $57.82 / $316.75 / $316.75	Facility	26	$57.82	$316.75	$316.75
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $512.53 / $512.53 / $752.67	Professional		$512.53	$512.53	$752.67
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $58.23 / $58.23 / $85.52	Professional	26	$58.23	$58.23	$85.52
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $454.30 / $454.30 / $667.15	Professional	TC	$454.30	$454.30	$667.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.45 / $213.45 / $213.45	Facility	26	$213.45	$213.45	$213.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $424.27 / $899.68 / $1,828.79	Professional		$424.27	$899.68	$1,828.79
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.28 / $93.26 / $206.63	Professional	26	$41.28	$93.26	$206.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $376.83 / $798.66 / $1,622.16	Professional	TC	$376.83	$798.66	$1,622.16
United Facility/Professional Professional Modifier Low / Median / High Price $442.62 / $955.30 / $1,182.97	Professional		$442.62	$955.30	$1,182.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $92.53 / $149.36	Professional	26	$30.53	$92.53	$149.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $376.83 / $777.73 / $1,049.31	Professional	TC	$376.83	$777.73	$1,049.31