Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $302.00	Professional		$100.00	$125.89	$302.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $23.99 / $23.99	Facility	26	$20.89	$23.99	$23.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $446.68	Professional		$204.17	$302.00	$446.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $87.10 / $239.88	Facility	26	$21.88	$87.10	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $380.19	Professional		$112.20	$218.78	$380.19
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $95.50 / $190.55	Facility	26	$77.62	$95.50	$190.55
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $302.00	Professional		$190.55	$190.55	$302.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $870.96	Professional		$112.20	$199.53	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $398.11	Professional		$117.49	$186.21	$398.11