Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $229.09 / $407.38	Professional	26	$100.00	$229.09	$407.38
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $95.50 / $95.50	Facility	26	$83.18	$95.50	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $257.04 / $398.11	Professional	26	$186.21	$257.04	$398.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $416.87 / $1,000.00	Facility	26	$295.12	$416.87	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $213.80 / $338.84	Professional	26	$169.82	$213.80	$338.84
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $323.59 / $398.11 / $776.25	Facility	26	$323.59	$398.11	$776.25
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $169.82 / $263.03	Professional	26	$169.82	$169.82	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $239.88 / $549.54	Professional	26	$123.03	$239.88	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $218.78 / $371.54	Professional	26	$123.03	$218.78	$371.54