Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.78 / $60.78 / $60.78	Facility	26	$60.78	$60.78	$60.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $211.56 / $342.58	Professional		$172.58	$211.56	$342.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $53.59 / $97.43	Professional	26	$42.60	$53.59	$97.43
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $49.81 / $49.81 / $49.81	Facility	26	$49.81	$49.81	$49.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.61 / $637.40 / $773.07	Professional		$375.61	$637.40	$773.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.07 / $171.20 / $207.64	Professional	26	$103.07	$171.20	$207.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.32 / $202.14 / $497.09	Facility	26	$119.32	$202.14	$497.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.46 / $420.23 / $695.59	Professional		$210.46	$420.23	$695.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.68 / $112.15 / $187.72	Professional	26	$54.68	$112.15	$187.72
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $106.26 / $182.19 / $391.41	Facility	26	$106.26	$182.19	$391.41
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $330.89 / $391.66 / $667.97	Professional		$330.89	$391.66	$667.97
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $88.31 / $104.52 / $178.26	Professional	26	$88.31	$104.52	$178.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $267.93 / $267.93 / $267.93	Facility	26	$267.93	$267.93	$267.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.94 / $401.76 / $1,471.51	Professional		$213.94	$401.76	$1,471.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.93 / $99.32 / $378.45	Professional	26	$60.93	$99.32	$378.45
United Facility/Professional Professional Modifier Low / Median / High Price $213.94 / $401.76 / $688.77	Professional		$213.94	$401.76	$688.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.75 / $89.57 / $195.85	Professional	26	$58.75	$89.57	$195.85