Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.30 / $49.30 / $49.30	Facility	26	$49.30	$49.30	$49.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $113.43 / $169.18	Professional		$93.73	$113.43	$169.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.51 / $43.11 / $72.94	Professional	26	$30.51	$43.11	$72.94
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $40.02 / $40.02 / $40.02	Facility	26	$40.02	$40.02	$40.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.18 / $312.41 / $378.91	Professional		$185.18	$312.41	$378.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.85 / $140.25 / $170.10	Professional	26	$83.85	$140.25	$170.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.56 / $163.58 / $402.27	Facility	26	$96.56	$163.58	$402.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.94 / $204.31 / $338.20	Professional		$110.94	$204.31	$338.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.97 / $90.23 / $149.16	Professional	26	$40.97	$90.23	$149.16
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $85.99 / $147.43 / $316.75	Facility	26	$85.99	$147.43	$316.75
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $190.42 / $324.77	Professional		$160.88	$190.42	$324.77
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $71.05 / $84.10 / $143.43	Professional	26	$71.05	$84.10	$143.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $217.99 / $217.99 / $217.99	Facility	26	$217.99	$217.99	$217.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $200.02 / $803.00	Professional		$109.71	$200.02	$803.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $63.67 / $310.62	Professional	26	$35.36	$63.67	$310.62
United Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $195.72 / $334.49	Professional		$104.45	$195.72	$334.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $59.96 / $107.84	Professional	26	$35.36	$59.96	$107.84