Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.52 / $72.52 / $72.52	Facility	26	$72.52	$72.52	$72.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $165.37 / $212.87	Professional		$141.85	$165.37	$212.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.89 / $72.18 / $277.88	Professional	26	$63.89	$72.18	$277.88
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $56.14 / $56.14 / $58.58	Facility	26	$56.14	$56.14	$58.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.56 / $407.21 / $544.32	Professional		$227.56	$407.21	$544.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.84 / $176.09 / $233.45	Professional	26	$99.84	$176.09	$233.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.47 / $231.72 / $557.42	Facility	26	$148.47	$231.72	$557.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.62 / $430.55 / $670.45	Professional		$253.62	$430.55	$670.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.45 / $180.17 / $280.55	Professional	26	$110.45	$180.17	$280.55
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $128.66 / $211.46 / $438.93	Facility	26	$128.66	$211.46	$438.93
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $263.94 / $405.37 / $605.79	Professional		$263.94	$405.37	$605.79
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $110.45 / $169.63 / $253.50	Professional	26	$110.45	$169.63	$253.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $302.75 / $302.75 / $302.75	Facility	26	$302.75	$302.75	$302.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $318.30 / $982.06	Professional		$162.40	$318.30	$982.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.20 / $143.15 / $428.85	Professional	26	$75.20	$143.15	$428.85
United Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $307.56 / $589.77	Professional		$162.40	$307.56	$589.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.81 / $123.14 / $238.66	Professional	26	$71.81	$123.14	$238.66