Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $69.18 / $104.71	Professional		$42.66	$69.18	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $43.65 / $436.52	Facility		$42.66	$43.65	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $67.61 / $173.78	Facility		$42.66	$67.61	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.44 / $27.54	Professional		$21.88	$23.44	$27.54
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $67.61 / $138.04	Facility		$45.71	$67.61	$138.04
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $75.86 / $123.03	Facility		$46.77	$75.86	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $446.68	Professional		$87.10	$177.83	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $131.83 / $288.40	Professional		$63.10	$131.83	$288.40