Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $373.64 / $373.64 / $373.64	Facility	26	$373.64	$373.64	$373.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.30 / $1,373.87 / $1,940.43	Professional		$1,195.30	$1,373.87	$1,940.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $357.26 / $373.64 / $1,533.00	Professional	26	$357.26	$373.64	$1,533.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $287.95 / $287.95 / $287.95	Facility	26	$287.95	$287.95	$287.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,736.46 / $2,879.14 / $4,470.18	Professional		$1,736.46	$2,879.14	$4,470.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $532.76 / $868.28 / $1,324.86	Professional	26	$532.76	$868.28	$1,324.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $842.26 / $1,194.44 / $2,873.38	Facility	26	$842.26	$1,194.44	$2,873.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,370.33 / $3,852.19 / $5,154.77	Professional		$2,370.33	$3,852.19	$5,154.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $674.07 / $1,095.48 / $1,465.90	Professional	26	$674.07	$1,095.48	$1,465.90
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $684.70 / $1,092.00 / $2,262.50	Facility	26	$684.70	$1,092.00	$2,262.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,003.69 / $3,215.92 / $4,585.10	Professional		$2,003.69	$3,215.92	$4,585.10
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $569.79 / $898.03 / $1,303.90	Professional	26	$569.79	$898.03	$1,303.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,575.09 / $2,799.03 / $4,825.60	Professional		$1,575.09	$2,799.03	$4,825.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $469.98 / $792.98 / $1,429.36	Professional	26	$469.98	$792.98	$1,429.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,625.23 / $2,749.68 / $4,593.81	Professional		$1,625.23	$2,749.68	$4,593.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $481.69 / $855.43 / $1,319.54	Professional	26	$481.69	$855.43	$1,319.54