Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.47 / $45.47 / $45.47	Facility	26	$45.47	$45.47	$45.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $81.95 / $128.26	Professional		$62.43	$81.95	$128.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.11 / $45.47 / $63.67	Professional	26	$38.11	$45.47	$63.67
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $34.54 / $34.54 / $36.04	Facility	26	$34.54	$34.54	$36.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $173.38 / $265.12	Professional		$110.36	$173.38	$265.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.58 / $93.89 / $141.94	Professional	26	$59.58	$93.89	$141.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.02 / $143.33 / $344.81	Facility	26	$101.02	$143.33	$344.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.29 / $208.81 / $325.14	Professional		$129.29	$208.81	$325.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.22 / $111.79 / $174.09	Professional	26	$69.22	$111.79	$174.09
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $82.16 / $130.80 / $271.50	Facility	26	$82.16	$130.80	$271.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $114.83 / $190.72 / $293.80	Professional		$114.83	$190.72	$293.80
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $61.48 / $102.11 / $157.30	Professional	26	$61.48	$102.11	$157.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $184.67 / $184.67 / $184.67	Facility	26	$184.67	$184.67	$184.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $141.94 / $266.44	Professional		$80.65	$141.94	$266.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.83 / $85.58 / $159.63	Professional	26	$48.83	$85.58	$159.63
United Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $141.94 / $237.02	Professional		$80.98	$141.94	$237.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.83 / $85.58 / $142.91	Professional	26	$48.83	$85.58	$142.91