Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.00 / $92.00 / $92.00	Facility	26	$92.00	$92.00	$92.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.33 / $191.88 / $275.14	Professional		$132.33	$191.88	$275.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.76 / $84.49 / $136.29	Professional	26	$77.76	$84.49	$136.29
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $75.44 / $75.44 / $75.44	Facility	26	$75.44	$75.44	$75.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.54 / $454.60 / $551.36	Professional		$272.54	$454.60	$551.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $161.30 / $266.95 / $323.77	Professional	26	$161.30	$266.95	$323.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $180.71 / $306.13 / $752.82	Facility	26	$180.71	$306.13	$752.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.57 / $295.19 / $595.91	Professional		$218.57	$295.19	$595.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.69 / $169.51 / $283.74	Professional	26	$98.69	$169.51	$283.74
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $160.91 / $275.91 / $592.78	Facility	26	$160.91	$275.91	$592.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $232.44 / $275.12 / $469.22	Professional		$232.44	$275.12	$469.22
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $133.47 / $157.97 / $269.44	Professional	26	$133.47	$157.97	$269.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $419.33 / $419.33 / $419.33	Facility	26	$419.33	$419.33	$419.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $333.04 / $3,391.09	Professional		$187.00	$333.04	$3,391.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $98.91 / $163.95 / $632.75	Professional	26	$98.91	$163.95	$632.75
United Facility/Professional Professional Modifier Low / Median / High Price $173.59 / $312.70 / $566.53	Professional		$173.59	$312.70	$566.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.97 / $158.94 / $304.79	Professional	26	$94.97	$158.94	$304.79