Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.43 / $24.43 / $24.43	Facility	26	$24.43	$24.43	$24.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.25 / $140.97 / $172.73	Professional		$120.25	$140.97	$172.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.72 / $24.43 / $31.90	Professional	26	$21.72	$24.43	$31.90
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.14 / $18.14 / $18.14	Facility	26	$18.14	$18.14	$18.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.50 / $389.61 / $512.64	Professional		$227.50	$389.61	$512.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.92 / $61.51 / $80.94	Professional	26	$35.92	$61.51	$80.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $76.44 / $183.90	Facility	26	$48.98	$76.44	$183.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.44 / $402.83 / $627.29	Professional		$175.44	$402.83	$627.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.54 / $59.13 / $92.08	Professional	26	$28.54	$59.13	$92.08
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $42.44 / $67.40 / $144.80	Facility	26	$42.44	$67.40	$144.80
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $246.95 / $394.23 / $566.79	Professional		$246.95	$394.23	$566.79
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $36.25 / $57.54 / $83.20	Professional	26	$36.25	$57.54	$83.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.96 / $102.96 / $102.96	Facility	26	$102.96	$102.96	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.71 / $309.11 / $788.45	Professional		$157.71	$309.11	$788.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.94 / $48.36 / $119.61	Professional	26	$25.94	$48.36	$119.61
United Facility/Professional Professional Modifier Low / Median / High Price $157.71 / $297.60 / $556.72	Professional		$157.71	$297.60	$556.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $47.29 / $90.44	Professional	26	$25.62	$47.29	$90.44