Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.04 / $12.04 / $12.04	Facility	26	$12.04	$12.04	$12.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $59.65 / $475.00	Professional		$48.39	$59.65	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.04 / $22.70 / $140.00	Professional	26	$12.04	$22.70	$140.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.78 / $9.78 / $9.78	Facility	26	$9.78	$9.78	$9.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $135.41 / $164.23	Professional		$81.92	$135.41	$164.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.48 / $33.85 / $41.06	Professional	26	$20.48	$33.85	$41.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.02 / $40.61 / $97.69	Facility	26	$26.02	$40.61	$97.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.51 / $91.36 / $278.76	Professional		$68.51	$91.36	$278.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.59 / $21.91 / $37.21	Professional	26	$13.59	$21.91	$37.21
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.55 / $35.81 / $76.93	Facility	26	$22.55	$35.81	$76.93
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $90.46 / $276.00	Professional		$70.04	$90.46	$276.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.26 / $20.42 / $34.83	Professional	26	$17.26	$20.42	$34.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $103.84 / $353.51	Professional		$56.13	$103.84	$353.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $22.28 / $74.64	Professional	26	$12.63	$22.28	$74.64
United Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $101.03 / $177.82	Professional		$53.41	$101.03	$177.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $24.75 / $87.90	Professional	26	$12.63	$24.75	$87.90