Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.81 / $24.81 / $24.81	Facility	26	$24.81	$24.81	$24.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.53 / $166.47 / $221.66	Professional		$120.53	$166.47	$221.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $24.66 / $35.38	Professional	26	$18.76	$24.66	$35.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.51 / $120.65 / $187.63	Professional	TC	$94.51	$120.65	$187.63
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.71 / $18.71 / $18.71	Facility	26	$18.71	$18.71	$18.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.94 / $330.36 / $438.74	Professional		$190.94	$330.36	$438.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.79 / $61.94 / $82.12	Professional	26	$35.79	$61.94	$82.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $176.44 / $288.64 / $359.32	Professional	TC	$176.44	$288.64	$359.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.51 / $78.83 / $189.64	Facility	26	$50.51	$78.83	$189.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.84 / $342.78 / $533.77	Professional		$165.84	$342.78	$533.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.72 / $60.98 / $94.96	Professional	26	$25.72	$60.98	$94.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.44 / $281.80 / $438.82	Professional	TC	$139.44	$281.80	$438.82
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $43.77 / $69.50 / $149.33	Facility	26	$43.77	$69.50	$149.33
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $337.66 / $482.30	Professional		$210.13	$337.66	$482.30
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $37.38 / $59.34 / $85.80	Professional	26	$37.38	$59.34	$85.80
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $172.75 / $278.10 / $396.50	Professional	TC	$172.75	$278.10	$396.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $174.32 / $174.32 / $174.32	Facility	26	$174.32	$174.32	$174.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.51 / $262.08 / $1,035.17	Professional		$144.51	$262.08	$1,035.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.98 / $50.74 / $303.79	Professional	26	$25.98	$50.74	$303.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $117.25 / $218.51 / $922.24	Professional	TC	$117.25	$218.51	$922.24
United Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $271.08 / $477.12	Professional		$143.94	$271.08	$477.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.98 / $48.62 / $88.54	Professional	26	$25.98	$48.62	$88.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.93 / $206.56 / $387.68	Professional	TC	$115.93	$206.56	$387.68