Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $190.55	Professional		$70.79	$93.33	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.13 / $47.86	Professional	26	$12.02	$14.13	$47.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $12.88 / $12.88	Facility	26	$11.22	$12.88	$12.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $363.08	Professional		$169.82	$245.47	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $36.31 / $53.70	Professional	26	$24.55	$36.31	$53.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $47.86 / $131.83	Facility	26	$12.30	$47.86	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $181.97 / $316.23	Professional		$85.11	$181.97	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $28.18 / $44.67	Professional	26	$16.60	$28.18	$44.67
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $52.48 / $104.71	Facility	26	$42.66	$52.48	$104.71
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $251.19	Professional		$158.49	$158.49	$251.19
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $22.39 / $34.67	Professional	26	$22.39	$22.39	$34.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	26	$141.25	$141.25	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $616.60	Professional		$79.43	$141.25	$616.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $26.92 / $162.18	Professional	26	$15.14	$26.92	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $302.00	Professional		$85.11	$134.90	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $26.30 / $45.71	Professional	26	$15.14	$26.30	$45.71