Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.89 / $84.89 / $84.89	Facility	26	$84.89	$84.89	$84.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $111.47 / $150.36	Professional		$94.37	$111.47	$150.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.81 / $80.63 / $108.67	Professional	26	$69.81	$80.63	$108.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $32.81 / $42.25	Professional	TC	$20.55	$32.81	$42.25
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $67.91 / $67.91 / $67.91	Facility	26	$67.91	$67.91	$67.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.99 / $292.67 / $375.39	Professional		$167.99	$292.67	$375.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $121.45 / $212.99 / $266.29	Professional	26	$121.45	$212.99	$266.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.22 / $87.26 / $109.10	Professional	TC	$49.22	$87.26	$109.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $174.49 / $218.33 / $274.52	Facility	26	$174.49	$218.33	$274.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.03 / $258.52 / $421.95	Professional		$115.03	$258.52	$421.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.66 / $186.53 / $304.44	Professional	26	$88.66	$186.53	$304.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.03 / $71.98 / $117.50	Professional	TC	$32.03	$71.98	$117.50
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $174.49 / $216.17 / $453.51	Facility	26	$174.49	$216.17	$453.51
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $251.98 / $363.65	Professional		$147.13	$251.98	$363.65
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $106.16 / $181.81 / $262.38	Professional	26	$106.16	$181.81	$262.38
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $40.97 / $70.17 / $101.27	Professional	TC	$40.97	$70.17	$101.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $343.65 / $343.65 / $343.65	Facility	26	$343.65	$343.65	$343.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $181.02 / $404.46	Professional		$93.25	$181.02	$404.46
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.28 / $124.69 / $300.02	Professional	26	$70.28	$124.69	$300.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.36 / $39.40 / $103.55	Professional	TC	$23.36	$39.40	$103.55
United Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $164.57 / $343.44	Professional		$93.25	$164.57	$343.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.95 / $124.69 / $274.51	Professional	26	$70.95	$124.69	$274.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.92 / $40.82 / $88.49	Professional	TC	$23.92	$40.82	$88.49