Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.13 / $21.13 / $35.92	Facility	26	$21.13	$21.13	$35.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $81.15 / $122.73	Professional		$66.12	$81.15	$122.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.79 / $21.13 / $30.06	Professional	26	$19.79	$21.13	$30.06
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $16.12 / $16.12 / $16.12	Facility	26	$16.12	$16.12	$16.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $188.15 / $247.52	Professional		$105.84	$188.15	$247.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.57 / $50.76 / $66.87	Professional	26	$29.57	$50.76	$66.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.14 / $66.89 / $160.91	Facility	26	$47.14	$66.89	$160.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $201.58 / $297.82	Professional		$129.50	$201.58	$297.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.03 / $54.53 / $80.56	Professional	26	$35.03	$54.53	$80.56
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $42.86 / $61.15 / $126.70	Facility	26	$42.86	$61.15	$126.70
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $182.16 / $269.10	Professional		$117.24	$182.16	$269.10
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $31.72 / $49.28 / $72.80	Professional	26	$31.72	$49.28	$72.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $44.37 / $44.37 / $44.37	Facility	26	$44.37	$44.37	$44.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $142.54 / $290.66	Professional		$80.66	$142.54	$290.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.19 / $38.10 / $76.34	Professional	26	$21.19	$38.10	$76.34
United Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $142.02 / $276.43	Professional		$80.66	$142.02	$276.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.01 / $40.32 / $74.73	Professional	26	$22.01	$40.32	$74.73