Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.26 / $110.26 / $110.26	Facility	26	$110.26	$110.26	$110.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.66 / $102.84 / $163.46	Professional	26	$97.66	$102.84	$163.46
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $90.70 / $90.70 / $90.70	Facility	26	$90.70	$90.70	$90.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $146.19 / $219.14 / $547.51	Professional	26	$146.19	$219.14	$547.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $263.63 / $373.86 / $899.37	Facility	26	$263.63	$373.86	$899.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.49 / $204.31 / $337.76	Professional	26	$162.49	$204.31	$337.76
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $207.58 / $341.80 / $708.16	Facility	26	$207.58	$341.80	$708.16
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $160.88 / $160.88 / $295.54	Professional	26	$160.88	$160.88	$295.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $128.63 / $217.37 / $409.92	Professional	26	$128.63	$217.37	$409.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $126.84 / $217.37 / $389.29	Professional	26	$126.84	$217.37	$389.29