Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	26	$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $457.09	Professional		$181.97	$257.04	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $45.71 / $173.78	Professional	26	$32.36	$45.71	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $218.78 / $691.83	Professional	TC	$151.36	$218.78	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $933.25	Professional		$446.68	$724.44	$933.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $102.33 / $138.04	Professional	26	$66.07	$102.33	$138.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $630.96 / $794.33	Professional	TC	$380.19	$630.96	$794.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $309.03 / $363.08	Facility	26	$67.61	$309.03	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $588.84	Professional		$363.08	$457.09	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $67.61 / $85.11	Professional	26	$53.70	$67.61	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $398.11 / $501.19	Professional	TC	$316.23	$398.11	$501.19
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $288.40 / $288.40	Facility	26	$52.48	$288.40	$288.40
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $537.03	Professional		$363.08	$363.08	$537.03
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $52.48 / $123.03	Professional	26	$52.48	$52.48	$123.03
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $309.03 / $457.09	Professional	TC	$309.03	$309.03	$457.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	26	$181.97	$181.97	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $478.63 / $2,089.30	Professional		$208.93	$478.63	$2,089.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $70.79 / $269.15	Professional	26	$27.54	$70.79	$269.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $537.03 / $1,819.70	Professional	TC	$181.97	$537.03	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $630.96 / $1,000.00	Professional		$275.42	$630.96	$1,000.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $83.18 / $134.90	Professional	26	$37.15	$83.18	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $537.03 / $851.14	Professional	TC	$239.88	$537.03	$851.14