Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.88 / $38.88 / $38.88	Facility	26	$38.88	$38.88	$38.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.91 / $277.89 / $382.75	Professional		$233.91	$277.89	$382.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.01 / $38.88 / $50.85	Professional	26	$35.01	$38.88	$50.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $191.98 / $239.03 / $322.54	Professional	TC	$191.98	$239.03	$322.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $29.95 / $29.95 / $29.95	Facility	26	$29.95	$29.95	$29.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.81 / $662.42 / $871.61	Professional		$386.81	$662.42	$871.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.63 / $98.96 / $130.21	Professional	26	$58.63	$98.96	$130.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $372.38 / $606.09 / $769.59	Professional	TC	$372.38	$606.09	$769.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.83 / $123.03 / $295.95	Facility	26	$78.83	$123.03	$295.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.31 / $685.55 / $1,067.54	Professional		$300.31	$685.55	$1,067.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.93 / $97.01 / $151.07	Professional	26	$44.93	$97.01	$151.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.74 / $588.54 / $916.48	Professional	TC	$257.74	$588.54	$916.48
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $68.31 / $112.27 / $233.04	Facility	26	$68.31	$112.27	$233.04
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $420.27 / $671.72 / $964.60	Professional		$420.27	$671.72	$964.60
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $59.47 / $94.41 / $136.50	Professional	26	$59.47	$94.41	$136.50
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $360.80 / $579.23 / $828.10	Professional	TC	$360.80	$579.23	$828.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $171.05 / $171.05 / $171.05	Facility	26	$171.05	$171.05	$171.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.75 / $532.63 / $1,364.94	Professional		$271.75	$532.63	$1,364.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.18 / $76.02 / $189.30	Professional	26	$40.18	$76.02	$189.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $232.05 / $454.82 / $1,175.64	Professional	TC	$232.05	$454.82	$1,175.64
United Facility/Professional Professional Modifier Low / Median / High Price $271.75 / $501.72 / $994.90	Professional		$271.75	$501.72	$994.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $75.78 / $146.04	Professional	26	$39.70	$75.78	$146.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $232.05 / $435.28 / $853.60	Professional	TC	$232.05	$435.28	$853.60