Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.97 / $22.97 / $22.97	Facility	26	$22.97	$22.97	$22.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $48.69 / $71.58	Professional		$35.11	$48.69	$71.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.36 / $22.97 / $33.65	Professional	26	$17.36	$22.97	$33.65
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.00 / $19.00 / $19.00	Facility	26	$19.00	$19.00	$19.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $122.86 / $164.23	Professional		$81.52	$122.86	$164.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.02 / $57.92 / $77.42	Professional	26	$39.02	$57.92	$77.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.51 / $78.83 / $189.64	Facility	26	$50.51	$78.83	$189.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $90.88 / $150.22	Professional		$71.56	$90.88	$150.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.12 / $43.18 / $71.39	Professional	26	$31.12	$43.18	$71.39
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $43.77 / $71.94 / $149.33	Facility	26	$43.77	$71.94	$149.33
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $71.56 / $134.66	Professional		$71.56	$71.56	$134.66
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $34.00 / $34.00 / $63.99	Professional	26	$34.00	$34.00	$63.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $113.10 / $113.10 / $113.10	Facility	26	$113.10	$113.10	$113.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $118.13 / $497.00	Professional		$56.52	$118.13	$497.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.36 / $50.18 / $320.31	Professional	26	$26.36	$50.18	$320.31
United Facility/Professional Professional Modifier Low / Median / High Price $53.99 / $114.36 / $163.40	Professional		$53.99	$114.36	$163.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.90 / $47.85 / $78.09	Professional	26	$23.90	$47.85	$78.09