Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $275.42	Professional		$100.00	$128.82	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.91 / $57.54	Professional	26	$18.20	$22.91	$57.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $19.50 / $19.50	Facility	26	$16.98	$19.50	$19.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $467.74	Professional		$218.78	$316.23	$467.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $54.95 / $81.28	Professional	26	$37.15	$54.95	$81.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $72.44 / $199.53	Facility	26	$18.62	$72.44	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $407.38	Professional		$114.82	$234.42	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $43.65 / $69.18	Professional	26	$25.70	$43.65	$69.18
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $81.28 / $158.49	Facility	26	$64.57	$81.28	$158.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $316.23	Professional		$204.17	$204.17	$316.23
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $53.70	Professional	26	$33.88	$33.88	$53.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $891.25	Professional		$112.20	$204.17	$891.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $42.66 / $186.21	Professional	26	$24.55	$42.66	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $398.11	Professional		$117.49	$190.55	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $41.69 / $70.79	Professional	26	$24.55	$41.69	$70.79