Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.17 / $30.17 / $30.17	Facility	26	$30.17	$30.17	$30.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $130.13 / $190.82	Professional		$104.08	$130.13	$190.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.78 / $27.89 / $44.45	Professional	26	$23.78	$27.89	$44.45
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $25.05 / $25.05 / $25.05	Facility	26	$25.05	$25.05	$25.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $321.12 / $389.47	Professional		$188.10	$321.12	$389.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.99 / $88.02 / $106.75	Professional	26	$52.99	$88.02	$106.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.70 / $102.82 / $252.86	Facility	26	$60.70	$102.82	$252.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $208.83 / $349.55	Professional		$134.63	$208.83	$349.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.44 / $56.72 / $94.94	Professional	26	$30.44	$56.72	$94.94
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $54.05 / $92.67 / $199.10	Facility	26	$54.05	$92.67	$199.10
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $164.43 / $194.63 / $331.94	Professional		$164.43	$194.63	$331.94
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $44.66 / $52.86 / $90.16	Professional	26	$44.66	$52.86	$90.16
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $137.78 / $137.78 / $137.78	Facility	26	$137.78	$137.78	$137.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.61 / $220.34 / $963.76	Professional		$132.61	$220.34	$963.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $52.64 / $236.11	Professional	26	$29.59	$52.64	$236.11
United Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $198.16 / $422.50	Professional		$131.13	$198.16	$422.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $48.81 / $90.21	Professional	26	$29.59	$48.81	$90.21