Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $204.99 / $204.99 / $204.99	Facility	26	$204.99	$204.99	$204.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.68 / $630.09 / $1,087.28	Professional		$501.68	$630.09	$1,087.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $168.82 / $204.99 / $1,269.20	Professional	26	$168.82	$204.99	$1,269.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $171.90 / $171.90 / $171.90	Facility	26	$171.90	$171.90	$171.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.82 / $1,490.40 / $2,131.52	Professional		$1,006.82	$1,490.40	$2,131.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $331.59 / $487.23 / $696.82	Professional	26	$331.59	$487.23	$696.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $495.25 / $702.33 / $1,689.54	Facility	26	$495.25	$702.33	$1,689.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.80 / $1,194.30 / $1,974.33	Professional		$949.80	$1,194.30	$1,974.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $307.02 / $386.07 / $638.22	Professional	26	$307.02	$386.07	$638.22
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $389.96 / $642.10 / $1,330.35	Facility	26	$389.96	$642.10	$1,330.35
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $940.40 / $992.10 / $1,727.54	Professional		$940.40	$992.10	$1,727.54
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $303.99 / $320.70 / $558.44	Professional	26	$303.99	$320.70	$558.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $734.93 / $1,135.23 / $2,190.77	Professional		$734.93	$1,135.23	$2,190.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $246.85 / $375.09 / $768.84	Professional	26	$246.85	$375.09	$768.84
United Facility/Professional Professional Modifier Low / Median / High Price $707.61 / $1,123.73 / $2,038.98	Professional		$707.61	$1,123.73	$2,038.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $237.28 / $375.09 / $653.49	Professional	26	$237.28	$375.09	$653.49