Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $158.49	Facility	26	$93.33	$93.33	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $1,000.00	Professional		$151.36	$281.84	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $138.04 / $338.84	Professional	26	$75.86	$138.04	$338.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $81.28 / $81.28	Facility	26	$70.79	$81.28	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $645.65	Professional		$288.40	$426.58	$645.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $213.80 / $323.59	Professional	26	$147.91	$213.80	$323.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $288.40 / $794.33	Facility	26	$72.44	$288.40	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $537.03	Professional		$204.17	$338.84	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $169.82 / $269.15	Professional	26	$100.00	$169.82	$269.15
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $323.59 / $630.96	Facility	26	$257.04	$323.59	$630.96
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $426.58	Professional		$269.15	$269.15	$426.58
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $134.90 / $208.93	Professional	26	$134.90	$134.90	$208.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $407.38 / $436.52	Facility	26	$407.38	$407.38	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $380.19 / $1,479.11	Professional		$181.97	$380.19	$1,479.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $239.88 / $501.19	Professional	26	$97.72	$239.88	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $549.54	Professional		$181.97	$316.23	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $162.18 / $275.42	Professional	26	$95.50	$162.18	$275.42