Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.00 / $58.00 / $58.00	Facility	26	$58.00	$58.00	$58.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $125.24 / $599.00	Professional		$103.56	$125.24	$599.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.96 / $47.96 / $47.96	Facility	26	$47.96	$47.96	$47.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.99 / $304.52 / $407.07	Professional		$197.99	$304.52	$407.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.27 / $197.08 / $474.11	Facility	26	$126.27	$197.08	$474.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $220.43 / $361.34	Professional		$152.16	$220.43	$361.34
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $109.43 / $173.76 / $373.31	Facility	26	$109.43	$173.76	$373.31
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $173.57 / $173.57 / $326.61	Professional		$173.57	$173.57	$326.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $251.32 / $251.32 / $251.32	Facility	26	$251.32	$251.32	$251.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $231.83 / $582.10	Professional		$127.68	$231.83	$582.10
United Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $220.20 / $403.37	Professional		$123.43	$220.20	$403.37