Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $23.99	Facility	26	$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $147.91	Professional		$33.88	$53.70	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $23.99 / $61.66	Professional	26	$19.95	$23.99	$61.66
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.95	Facility	26	$19.05	$19.05	$19.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $181.97	Professional		$74.13	$117.49	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $48.98 / $75.86	Professional	26	$30.90	$48.98	$75.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $77.62 / $186.21	Facility	26	$54.95	$77.62	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $223.87	Professional		$87.10	$144.54	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $60.26 / $91.20	Professional	26	$36.31	$60.26	$91.20
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $75.86 / $147.91	Facility	26	$60.26	$75.86	$147.91
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $208.93	Professional		$87.10	$131.83	$208.93
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $53.70 / $85.11	Professional	26	$36.31	$53.70	$85.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	26	$97.72	$97.72	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $91.20 / $234.42	Professional		$47.86	$91.20	$234.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $46.77 / $112.20	Professional	26	$23.99	$46.77	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $97.72 / $181.97	Professional		$50.12	$97.72	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $44.67 / $81.28	Professional	26	$25.12	$44.67	$81.28