Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.46 / $35.46 / $2,168.00	Facility		$35.46	$35.46	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $40.29 / $65.56	Professional		$35.46	$40.29	$65.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $31.10 / $388.50	Facility		$0.98	$31.10	$388.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $110.01 / $133.72	Professional		$66.17	$110.01	$133.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.12 / $126.61 / $304.58	Facility		$81.12	$126.61	$304.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $117.69 / $161.81	Professional		$65.91	$117.69	$161.81
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $70.30 / $115.54 / $239.83	Facility		$70.30	$115.54	$239.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $107.38 / $147.94	Professional		$65.23	$107.38	$147.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $71.64 / $120.43	Facility		$40.54	$71.64	$120.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $91.47 / $496.00	Professional		$49.59	$91.47	$496.00
United Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $1,727.00 / $2,883.00	Facility		$133.00	$1,727.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $85.96 / $155.78	Professional		$45.54	$85.96	$155.78