Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.79 / $52.79 / $52.79	Facility	53	$52.79	$52.79	$52.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.48 / $323.55 / $411.76	Professional		$222.48	$323.55	$411.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.98 / $116.15 / $528.08	Professional	26	$97.98	$116.15	$528.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $88.69 / $88.69 / $88.69	Facility	26	$88.69	$88.69	$88.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.63 / $619.59 / $828.21	Professional		$361.63	$619.59	$828.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $161.87 / $274.70 / $364.83	Professional	26	$161.87	$274.70	$364.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $234.95 / $366.69 / $882.13	Facility	26	$234.95	$366.69	$882.13
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.64 / $52.64 / $52.64	Facility	53	$52.64	$52.64	$52.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.95 / $647.66 / $1,008.56	Professional		$344.95	$647.66	$1,008.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $142.50 / $285.49 / $444.57	Professional	26	$142.50	$285.49	$444.57
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $203.60 / $334.63 / $694.59	Facility	26	$203.60	$334.63	$694.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $397.05 / $637.60 / $911.30	Professional		$397.05	$637.60	$911.30
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $175.02 / $277.82 / $401.70	Professional	26	$175.02	$277.82	$401.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $985.36 / $985.36 / $985.36	Facility	26	$985.36	$985.36	$985.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.39 / $500.07 / $1,920.39	Professional		$278.39	$500.07	$1,920.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $120.89 / $220.70 / $1,030.27	Professional	26	$120.89	$220.70	$1,030.27
United Facility/Professional Professional Modifier Low / Median / High Price $275.33 / $492.32 / $877.90	Professional		$275.33	$492.32	$877.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $115.78 / $214.31 / $383.61	Professional	26	$115.78	$214.31	$383.61