Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.93 / $46.93 / $46.93	Facility	26	$46.93	$46.93	$46.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.71 / $153.15 / $243.92	Professional		$125.71	$153.15	$243.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.32 / $46.93 / $75.28	Professional	26	$40.32	$46.93	$75.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.54 / $106.59 / $173.76	Professional	TC	$85.54	$106.59	$173.76
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.28 / $36.28 / $36.28	Facility	26	$36.28	$36.28	$36.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $361.28 / $479.80	Professional		$210.13	$361.28	$479.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.41 / $112.18 / $148.97	Professional	26	$66.41	$112.18	$148.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.66 / $270.44 / $343.39	Professional	TC	$163.66	$270.44	$343.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.43 / $150.50 / $362.05	Facility	26	$96.43	$150.50	$362.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.08 / $378.81 / $589.88	Professional		$199.08	$378.81	$589.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.56 / $117.34 / $182.72	Professional	26	$58.56	$117.34	$182.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.25 / $261.47 / $407.16	Professional	TC	$138.25	$261.47	$407.16
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $83.56 / $137.34 / $285.08	Facility	26	$83.56	$137.34	$285.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $232.22 / $371.78 / $533.00	Professional		$232.22	$371.78	$533.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $71.93 / $114.19 / $165.10	Professional	26	$71.93	$114.19	$165.10
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $160.29 / $258.04 / $367.90	Professional	TC	$160.29	$258.04	$367.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $214.35 / $214.35 / $214.35	Facility	26	$214.35	$214.35	$214.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $282.24 / $1,086.26	Professional		$147.84	$282.24	$1,086.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.96 / $90.90 / $449.09	Professional	26	$49.96	$90.90	$449.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.81 / $196.03 / $867.64	Professional	TC	$97.81	$196.03	$867.64
United Facility/Professional Professional Modifier Low / Median / High Price $145.55 / $261.68 / $466.99	Professional		$145.55	$261.68	$466.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.93 / $86.30 / $151.90	Professional	26	$47.93	$86.30	$151.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.81 / $191.71 / $325.70	Professional	TC	$97.81	$191.71	$325.70