Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.78 / $24.78 / $24.78	Facility	26	$24.78	$24.78	$24.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $87.66 / $207.10	Professional		$63.39	$87.66	$207.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $24.78 / $98.00	Professional	26	$15.71	$24.78	$98.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $20.44 / $20.44 / $20.44	Facility	26	$20.44	$20.44	$20.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.26 / $226.33 / $274.51	Professional		$136.26	$226.33	$274.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.51 / $69.64 / $84.46	Professional	26	$42.51	$69.64	$84.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.34 / $84.80 / $204.01	Facility	26	$54.34	$84.80	$204.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $152.11 / $254.61	Professional		$115.60	$152.11	$254.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.22 / $46.41 / $76.70	Professional	26	$21.22	$46.41	$76.70
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $47.09 / $77.39 / $160.63	Facility	26	$47.09	$77.39	$160.63
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $119.77 / $141.77 / $241.78	Professional		$119.77	$141.77	$241.78
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $43.25 / $73.76	Professional	26	$36.54	$43.25	$73.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.49 / $110.49 / $110.49	Facility	26	$110.49	$110.49	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $197.36 / $806.51	Professional		$86.72	$197.36	$806.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.12 / $38.92 / $153.55	Professional	26	$23.12	$38.92	$153.55
United Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $172.57 / $806.51	Professional		$75.06	$172.57	$806.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.05 / $33.25 / $79.20	Professional	26	$22.05	$33.25	$79.20