Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Facility		$49.95	$49.95	$49.95
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.05 / $47.05 / $47.05	Facility	26	$47.05	$47.05	$47.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $49.95 / $59.14	Professional		$18.76	$49.95	$59.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $47.05 / $71.63	Professional	26	$17.23	$47.05	$71.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.08 / $93.89 / $240.24	Facility		$78.08	$93.89	$240.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $38.86 / $38.86 / $38.86	Facility	26	$38.86	$38.86	$38.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $98.79 / $163.83	Professional		$69.70	$98.79	$163.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.41 / $94.17 / $152.66	Professional	26	$66.41	$94.17	$152.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.97 / $175.80 / $419.51	Facility		$122.97	$175.80	$419.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.39 / $164.96 / $393.65	Facility	26	$115.39	$164.96	$393.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $64.23 / $69.06	Professional		$54.92	$64.23	$69.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.51 / $60.28 / $64.77	Professional	26	$51.51	$60.28	$64.77
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $159.43 / $330.33	Facility		$99.97	$159.43	$330.33
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $93.80 / $149.60 / $309.95	Facility	26	$93.80	$149.60	$309.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $54.38 / $61.99	Professional		$54.38	$54.38	$61.99
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $51.00 / $51.00 / $58.14	Professional	26	$51.00	$51.00	$58.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $84.44 / $129.77	Facility		$30.16	$84.44	$129.77
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $223.26 / $223.26 / $223.26	Facility	26	$223.26	$223.26	$223.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $40.51 / $144.91	Professional		$25.93	$40.51	$144.91
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.23 / $68.52 / $155.49	Professional	26	$28.23	$68.52	$155.49
United Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $39.81 / $74.58	Professional		$25.91	$39.81	$74.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.90 / $39.79 / $70.37	Professional	26	$25.90	$39.79	$70.37