Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.10 / $15.10 / $15.10	Facility	26	$15.10	$15.10	$15.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $54.34 / $90.40	Professional		$45.62	$54.34	$90.40
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.80 / $11.80 / $12.31	Facility	26	$11.80	$11.80	$12.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $133.61 / $177.14	Professional		$75.15	$133.61	$177.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.61 / $47.78 / $114.94	Facility	26	$30.61	$47.78	$114.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $141.36 / $220.13	Professional		$86.66	$141.36	$220.13
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $26.53 / $43.60 / $90.50	Facility	26	$26.53	$43.60	$90.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $133.09 / $198.90	Professional		$86.66	$133.09	$198.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $108.72 / $500.00	Professional		$56.08	$108.72	$500.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.01 / $102.85 / $188.53	Professional		$55.01	$102.85	$188.53