Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Facility		$2,500.00	$2,500.00	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $23.70 / $29.39	Professional		$22.12	$23.70	$29.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $31.60 / $31.60	Facility		$30.65	$31.60	$31.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $31.60 / $31.60	Professional		$25.28	$31.60	$31.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $119.19 / $278.72	Facility		$81.70	$119.19	$278.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $46.16 / $60.98	Professional		$36.71	$46.16	$60.98
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $64.33 / $105.92 / $219.46	Facility		$64.33	$105.92	$219.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $36.34 / $57.45	Professional		$36.34	$36.34	$57.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $50.27 / $150.10	Facility		$31.60	$50.27	$150.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $20.13 / $67.05	Professional		$13.27	$20.13	$67.05
United Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $18.96 / $67.30	Professional		$13.27	$18.96	$67.30