Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.42 / $66.42 / $66.42	Facility	26	$66.42	$66.42	$66.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.23 / $247.33 / $976.51	Professional		$205.23	$247.33	$976.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.09 / $87.29 / $440.80	Professional	26	$59.09	$87.29	$440.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.60 / $179.09 / $306.68	Professional	TC	$143.60	$179.09	$306.68
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.97 / $50.97 / $50.97	Facility	26	$50.97	$50.97	$50.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.65 / $581.22 / $771.90	Professional		$334.65	$581.22	$771.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.39 / $158.99 / $211.16	Professional	26	$93.39	$158.99	$211.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $277.05 / $451.47 / $564.98	Professional	TC	$277.05	$451.47	$564.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $136.22 / $212.61 / $511.46	Facility	26	$136.22	$212.61	$511.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.69 / $603.32 / $939.50	Professional		$281.69	$603.32	$939.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.70 / $164.46 / $256.10	Professional	26	$82.70	$164.46	$256.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.92 / $438.86 / $683.40	Professional	TC	$198.92	$438.86	$683.40
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $118.05 / $187.45 / $402.73	Facility	26	$118.05	$187.45	$402.73
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $369.86 / $595.41 / $848.90	Professional		$369.86	$595.41	$848.90
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $100.82 / $160.04 / $231.40	Professional	26	$100.82	$160.04	$231.40
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $269.04 / $433.11 / $617.50	Professional	TC	$269.04	$433.11	$617.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $314.00 / $314.00 / $314.00	Facility	26	$314.00	$314.00	$314.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.24 / $472.01 / $1,442.20	Professional		$248.24	$472.01	$1,442.20
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.44 / $128.30 / $507.29	Professional	26	$70.44	$128.30	$507.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $178.95 / $349.42 / $1,055.58	Professional	TC	$178.95	$349.42	$1,055.58
United Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $439.32 / $788.78	Professional		$237.47	$439.32	$788.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.22 / $120.46 / $211.71	Professional	26	$68.22	$120.46	$211.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.74 / $354.90 / $586.48	Professional	TC	$173.74	$354.90	$586.48