Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Facility	26	$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $117.49	Professional		$30.90	$52.48	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.88 / $43.65	Professional	26	$18.20	$21.88	$43.65
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $17.78 / $18.62	Facility	26	$17.78	$17.78	$18.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $177.83	Professional		$72.44	$114.82	$177.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $46.77 / $72.44	Professional	26	$28.84	$46.77	$72.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $75.86 / $181.97	Facility	26	$53.70	$75.86	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $218.78	Professional		$85.11	$141.25	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $56.23 / $87.10	Professional	26	$34.67	$56.23	$87.10
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $72.44 / $141.25	Facility	26	$57.54	$72.44	$141.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $204.17	Professional		$85.11	$128.82	$204.17
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $51.29 / $81.28	Professional	26	$34.67	$51.29	$81.28
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 $44.67 / $85.11 / $218.78	Professional		$44.67	$85.11	$218.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $42.66 / $102.33	Professional	26	$22.91	$42.66	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $93.33 / $169.82	Professional		$45.71	$93.33	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $41.69 / $75.86	Professional	26	$23.99	$41.69	$75.86