Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	26	$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $213.80	Professional		$61.66	$95.50	$213.80
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $23.99 / $23.99	Facility	26	$20.89	$23.99	$23.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $371.54	Professional		$169.82	$234.42	$371.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $102.33 / $251.19	Facility	26	$45.71	$102.33	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $316.23	Professional		$158.49	$199.53	$316.23
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $100.00 / $194.98	Facility	26	$81.28	$100.00	$194.98
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $245.47	Professional		$158.49	$158.49	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $501.19	Professional		$87.10	$151.36	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $323.59	Professional		$89.13	$162.18	$323.59