Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	26	$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,479.11	Professional		$691.83	$954.99	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $426.58 / $512.86 / $1,122.02	Professional	26	$426.58	$512.86	$1,122.02
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $407.38 / $407.38	Facility	26	$354.81	$407.38	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $3,388.44	Professional		$1,479.11	$2,187.76	$3,388.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $758.58 / $1,096.48 / $1,659.59	Professional	26	$758.58	$1,096.48	$1,659.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1,202.26 / $1,698.24 / $4,073.80	Facility	26	$1,202.26	$1,698.24	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,884.03	Professional		$1,412.54	$1,819.70	$2,884.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $707.95 / $891.25 / $1,445.44	Professional	26	$707.95	$891.25	$1,445.44
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $1,318.26 / $1,659.59 / $3,235.94	Facility	26	$1,318.26	$1,659.59	$3,235.94
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,238.72	Professional		$1,412.54	$1,412.54	$2,238.72
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $707.95 / $707.95 / $1,148.15	Professional	26	$707.95	$707.95	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $6,309.57	Professional		$977.24	$1,584.89	$6,309.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $549.54 / $870.96 / $5,011.87	Professional	26	$549.54	$870.96	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,659.59 / $3,090.30	Professional		$977.24	$1,659.59	$3,090.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $549.54 / $870.96 / $1,548.82	Professional	26	$549.54	$870.96	$1,548.82