Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $131.83 / $316.23	Facility	26	$131.83	$131.83	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,819.70	Professional		$575.44	$776.25	$1,819.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $194.98 / $575.44	Professional	26	$114.82	$194.98	$575.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $199.53 / $295.12 / $1,258.93	Professional	52	$199.53	$295.12	$1,258.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $616.60 / $1,148.15	Professional	TC	$467.74	$616.60	$1,148.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $107.15 / $107.15	Facility	26	$93.33	$107.15	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $2,344.23	Professional		$954.99	$1,548.82	$2,344.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $288.40 / $436.52	Professional	26	$177.83	$288.40	$436.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $776.25 / $1,318.26 / $1,949.84	Professional	TC	$776.25	$1,318.26	$1,949.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $426.58 / $1,071.52	Facility	26	$138.04	$426.58	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,737.80	Professional		$1,230.27	$1,445.44	$1,737.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $245.47 / $263.03 / $309.03	Professional	26	$245.47	$263.03	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $977.24 / $1,202.26 / $1,445.44	Professional	TC	$977.24	$1,202.26	$1,445.44
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $346.74 / $426.58 / $851.14	Facility	26	$346.74	$426.58	$851.14
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $245.47 / $245.47 / $263.03	Professional	26	$245.47	$245.47	$263.03
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional	TC	$1,122.02	$1,122.02	$1,122.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,318.26 / $6,165.95	Professional		$707.95	$1,318.26	$6,165.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $275.42 / $1,071.52	Professional	26	$131.83	$275.42	$1,071.52
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $660.69 / $660.69 / $660.69	Professional	52	$660.69	$660.69	$660.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $549.54 / $1,047.13 / $3,890.45	Professional	TC	$549.54	$1,047.13	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,258.93 / $2,238.72	Professional		$707.95	$1,258.93	$2,238.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $239.88 / $436.52	Professional	26	$131.83	$239.88	$436.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $575.44 / $1,023.29 / $1,819.70	Professional	TC	$575.44	$1,023.29	$1,819.70