Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.89 / $58.89 / $58.89	Facility	26	$58.89	$58.89	$58.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $298.68 / $1,331.00	Professional		$246.93	$298.68	$1,331.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $94.17 / $305.89	Professional	26	$52.48	$94.17	$305.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.35 / $227.63 / $586.51	Professional	TC	$162.35	$227.63	$586.51
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $44.92 / $44.92 / $44.92	Facility	26	$44.92	$44.92	$44.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.21 / $700.46 / $930.27	Professional		$405.21	$700.46	$930.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.05 / $143.34 / $190.04	Professional	26	$84.05	$143.34	$190.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $366.24 / $599.14 / $761.04	Professional	TC	$366.24	$599.14	$761.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.15 / $187.53 / $451.12	Facility	26	$120.15	$187.53	$451.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.84 / $728.05 / $1,133.73	Professional		$373.84	$728.05	$1,133.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.28 / $145.06 / $225.88	Professional	26	$80.28	$145.06	$225.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $293.94 / $583.00 / $907.84	Professional	TC	$293.94	$583.00	$907.84
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $104.12 / $165.34 / $355.21	Facility	26	$104.12	$165.34	$355.21
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $446.32 / $718.50 / $1,024.40	Professional		$446.32	$718.50	$1,024.40
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $88.92 / $141.16 / $204.10	Professional	26	$88.92	$141.16	$204.10
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $357.40 / $575.35 / $820.30	Professional	TC	$357.40	$575.35	$820.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $377.88 / $377.88 / $377.88	Facility	26	$377.88	$377.88	$377.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.14 / $617.91 / $2,362.07	Professional		$316.14	$617.91	$2,362.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.20 / $123.35 / $358.14	Professional	26	$74.20	$123.35	$358.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $253.35 / $460.64 / $1,854.93	Professional	TC	$253.35	$460.64	$1,854.93
United Facility/Professional Professional Modifier Low / Median / High Price $286.24 / $546.05 / $962.69	Professional		$286.24	$546.05	$962.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.77 / $115.18 / $208.25	Professional	26	$61.77	$115.18	$208.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $240.98 / $438.55 / $789.84	Professional	TC	$240.98	$438.55	$789.84