Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $472.03 / $472.03 / $472.03	Facility	26	$472.03	$472.03	$472.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $950.56 / $1,387.62	Professional		$740.75	$950.56	$1,387.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $464.20 / $491.36 / $1,058.38	Professional	26	$464.20	$491.36	$1,058.38
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $396.23 / $396.23 / $396.23	Facility	26	$396.23	$396.23	$396.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,537.91 / $2,266.36 / $3,241.28	Professional		$1,537.91	$2,266.36	$3,241.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $764.57 / $1,134.35 / $1,607.15	Professional	26	$764.57	$1,134.35	$1,607.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1,141.27 / $1,618.46 / $3,893.42	Facility	26	$1,141.27	$1,618.46	$3,893.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,442.90 / $1,814.34 / $2,999.33	Professional		$1,442.90	$1,814.34	$2,999.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $707.35 / $889.44 / $1,470.36	Professional	26	$707.35	$889.44	$1,470.36
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $898.64 / $1,479.66 / $3,065.69	Facility	26	$898.64	$1,479.66	$3,065.69
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,428.61 / $1,507.15 / $2,624.41	Professional		$1,428.61	$1,507.15	$2,624.41
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $700.35 / $738.85 / $1,286.57	Professional	26	$700.35	$738.85	$1,286.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,063.63 / $1,620.79 / $3,335.02	Professional		$1,063.63	$1,620.79	$3,335.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $569.50 / $864.47 / $2,084.40	Professional	26	$569.50	$864.47	$2,084.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,059.07 / $1,595.45 / $2,894.80	Professional		$1,059.07	$1,595.45	$2,894.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $547.25 / $855.03 / $1,538.03	Professional	26	$547.25	$855.03	$1,538.03