Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	26	$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $46.77 / $64.57	Professional		$16.98	$46.77	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $46.77 / $109.65	Professional	26	$16.98	$46.77	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $107.15 / $295.12	Facility		$85.11	$107.15	$295.12
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $38.90 / $38.90	Facility	26	$33.88	$38.90	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $162.18	Professional		$69.18	$104.71	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $97.72 / $151.36	Professional	26	$64.57	$97.72	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $181.97 / $436.52	Facility		$128.82	$181.97	$436.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $173.78 / $407.38	Facility	26	$123.03	$173.78	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $69.18	Professional		$54.95	$63.10	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $60.26 / $64.57	Professional	26	$51.29	$60.26	$64.57
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $173.78 / $346.74	Facility		$141.25	$173.78	$346.74
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $165.96 / $323.59	Facility	26	$131.83	$165.96	$323.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $74.13	Professional		$54.95	$54.95	$74.13
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $51.29 / $69.18	Professional	26	$51.29	$51.29	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $85.11 / $151.36	Facility		$30.20	$85.11	$151.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	26	$223.87	$223.87	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $154.88	Professional		$24.55	$40.74	$154.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $100.00 / $154.88	Professional	26	$28.18	$100.00	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $45.71 / $134.90	Professional		$23.99	$45.71	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $44.67 / $128.82	Professional	26	$23.99	$44.67	$128.82