Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.95 / $14.95 / $14.95	Facility	26	$14.95	$14.95	$14.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $94.00 / $149.53	Professional		$70.23	$94.00	$149.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $14.95 / $24.14	Professional	26	$12.53	$14.95	$24.14
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.37 / $12.37 / $12.37	Facility	26	$12.37	$12.37	$12.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.36 / $304.68 / $369.53	Professional		$179.36	$304.68	$369.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.21 / $43.53 / $52.79	Professional	26	$26.21	$43.53	$52.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.35 / $51.41 / $126.43	Facility	26	$30.35	$51.41	$126.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $201.74 / $333.93	Professional		$86.23	$201.74	$333.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.84 / $28.36 / $47.47	Professional	26	$16.84	$28.36	$47.47
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $27.02 / $46.34 / $99.55	Facility	26	$27.02	$46.34	$99.55
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $158.85 / $188.02 / $320.67	Professional		$158.85	$188.02	$320.67
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.33 / $26.43 / $45.08	Professional	26	$22.33	$26.43	$45.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $141.91 / $141.91 / $141.91	Facility	26	$141.91	$141.91	$141.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $145.32 / $611.40	Professional		$86.22	$145.32	$611.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $28.08 / $163.46	Professional	26	$15.16	$28.08	$163.46
United Facility/Professional Professional Modifier Low / Median / High Price $85.37 / $133.83 / $273.97	Professional		$85.37	$133.83	$273.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $27.29 / $46.94	Professional	26	$15.16	$27.29	$46.94