Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.11 / $24.11 / $24.11	Facility	26	$24.11	$24.11	$24.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $53.68 / $103.68	Professional		$29.31	$53.68	$103.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.57 / $23.45 / $54.49	Professional	26	$18.57	$23.45	$54.49
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.14 / $18.14 / $18.92	Facility	26	$18.14	$18.14	$18.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $117.13 / $183.00	Professional		$73.40	$117.13	$183.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.26 / $49.10 / $73.91	Professional	26	$31.26	$49.10	$73.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.19 / $74.06 / $178.15	Facility	26	$52.19	$74.06	$178.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.10 / $142.28 / $221.57	Professional		$88.10	$142.28	$221.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.04 / $58.21 / $90.64	Professional	26	$36.04	$58.21	$90.64
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $42.45 / $67.58 / $140.28	Facility	26	$42.45	$67.58	$140.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $129.96 / $200.20	Professional		$78.25	$129.96	$200.20
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $32.01 / $53.17 / $81.90	Professional	26	$32.01	$53.17	$81.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $96.88 / $96.88 / $96.88	Facility	26	$96.88	$96.88	$96.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $94.63 / $182.17	Professional		$48.87	$94.63	$182.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.20 / $46.69 / $88.41	Professional	26	$26.20	$46.69	$88.41
United Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $99.49 / $178.50	Professional		$49.87	$99.49	$178.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.20 / $46.69 / $84.08	Professional	26	$26.20	$46.69	$84.08