Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.48 / $27.48 / $27.48	Facility	26	$27.48	$27.48	$27.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $128.53 / $199.96	Professional		$99.70	$128.53	$199.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $22.75 / $22.75 / $22.75	Facility	26	$22.75	$22.75	$22.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.21 / $371.41 / $450.47	Professional		$217.21	$371.41	$450.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.18 / $93.48 / $229.87	Facility	26	$55.18	$93.48	$229.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.36 / $243.63 / $403.27	Professional		$118.36	$243.63	$403.27
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $49.14 / $84.25 / $181.00	Facility	26	$49.14	$84.25	$181.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $191.84 / $227.06 / $387.26	Professional		$191.84	$227.06	$387.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $122.62 / $122.62 / $122.62	Facility	26	$122.62	$122.62	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.77 / $204.98 / $867.22	Professional		$123.77	$204.98	$867.22
United Facility/Professional Professional Modifier Low / Median / High Price $123.77 / $192.64 / $403.41	Professional		$123.77	$192.64	$403.41