Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $239.88 / $251.19	Facility	26	$239.88	$239.88	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $2,187.76	Professional		$794.33	$1,000.00	$2,187.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $275.42 / $812.83	Professional	26	$213.80	$275.42	$812.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $190.55 / $190.55	Facility	26	$165.96	$190.55	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,090.30	Professional		$1,258.93	$1,862.09	$3,090.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $338.84 / $501.19 / $831.76	Professional	26	$338.84	$501.19	$831.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $794.33 / $1,905.46	Facility	26	$380.19	$794.33	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $3,801.89	Professional		$1,819.70	$2,754.23	$3,801.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $446.68 / $676.08 / $933.25	Professional	26	$446.68	$676.08	$933.25
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $616.60 / $776.25 / $1,513.56	Facility	26	$616.60	$776.25	$1,513.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,467.37	Professional		$1,737.80	$2,344.23	$3,467.37
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $426.58 / $575.44 / $870.96	Professional	26	$426.58	$575.44	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $3,388.44	Professional		$1,096.48	$1,737.80	$3,388.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $295.12 / $467.74 / $851.14	Professional	26	$295.12	$467.74	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $3,235.94	Professional		$1,096.48	$1,819.70	$3,235.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $302.00 / $467.74 / $851.14	Professional	26	$302.00	$467.74	$851.14