Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $426.58	Professional		$169.82	$204.17	$426.58
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $134.90 / $134.90	Facility	26	$117.49	$134.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $660.69	Professional		$263.03	$436.52	$660.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $512.86 / $1,288.25	Facility	26	$165.96	$512.86	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $776.25	Professional		$275.42	$489.78	$776.25
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $512.86 / $1,023.29	Facility	26	$416.87	$512.86	$1,023.29
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $707.95	Professional		$323.59	$457.09	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $1,348.96	Professional		$199.53	$398.11	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $676.08	Professional		$204.17	$380.19	$676.08