Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	26	$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $263.03	Professional		$89.13	$107.15	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $48.98 / $112.20	Professional	26	$38.02	$48.98	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $436.52	Professional		$208.93	$323.59	$436.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $131.83 / $177.83	Professional	26	$85.11	$131.83	$177.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $380.19 / $457.09	Facility	26	$85.11	$380.19	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $269.15	Professional		$165.96	$208.93	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $85.11 / $112.20	Professional	26	$67.61	$85.11	$112.20
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $363.08 / $363.08	Facility	26	$67.61	$363.08	$363.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $263.03	Professional		$165.96	$165.96	$263.03
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $67.61 / $117.49	Professional	26	$67.61	$67.61	$117.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	26	$316.23	$316.23	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $251.19 / $1,000.00	Professional		$83.18	$251.19	$1,000.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $109.65 / $416.87	Professional	26	$34.67	$109.65	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $251.19 / $426.58	Professional		$112.20	$251.19	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $102.33 / $169.82	Professional	26	$45.71	$102.33	$169.82