Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.39 / $114.39 / $114.39	Facility	26	$114.39	$114.39	$114.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.15 / $222.25 / $613.71	Professional		$140.15	$222.25	$613.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.90 / $93.07 / $114.39	Professional	26	$78.90	$93.07	$114.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.87 / $79.06 / $107.86	Professional	TC	$73.87	$79.06	$107.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.18 / $542.89 / $827.01	Professional		$334.18	$542.89	$827.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $178.69 / $280.57 / $432.28	Professional	26	$178.69	$280.57	$432.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.87 / $297.42 / $427.41	Professional	TC	$178.87	$297.42	$427.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $197.03 / $853.78 / $1,022.92	Facility	26	$197.03	$853.78	$1,022.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.70 / $395.73 / $501.22	Professional		$314.70	$395.73	$501.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $155.82 / $195.93 / $248.15	Professional	26	$155.82	$195.93	$248.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.90 / $199.80 / $253.06	Professional	TC	$158.90	$199.80	$253.06
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $155.13 / $805.45 / $805.45	Facility	26	$155.13	$805.45	$805.45
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $311.60 / $311.60 / $445.80	Professional		$311.60	$311.60	$445.80
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $154.27 / $154.27 / $220.72	Professional	26	$154.27	$154.27	$220.72
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $157.32 / $157.32 / $225.08	Professional	TC	$157.32	$157.32	$225.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $579.90 / $579.90 / $579.90	Facility	26	$579.90	$579.90	$579.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.46 / $424.38 / $1,548.81	Professional		$168.46	$424.38	$1,548.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $99.22 / $248.48 / $832.85	Professional	26	$99.22	$248.48	$832.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $69.23 / $173.44 / $785.37	Professional	TC	$69.23	$173.44	$785.37
United Facility/Professional Professional Modifier Low / Median / High Price $168.77 / $381.94 / $721.14	Professional		$168.77	$381.94	$721.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.39 / $220.81 / $351.66	Professional	26	$99.39	$220.81	$351.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.30 / $113.52 / $262.98	Professional	TC	$70.30	$113.52	$262.98