Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $213.80	Professional		$125.89	$169.82	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $67.61	Facility		$17.38	$17.38	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $17.38	Professional		$14.13	$17.38	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $47.86 / $114.82	Facility		$27.54	$47.86	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $28.18	Professional		$15.85	$19.95	$28.18
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $42.66 / $89.13	Facility		$30.20	$42.66	$89.13
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $26.30	Professional		$15.85	$15.85	$26.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $112.20 / $186.21	Facility		$35.48	$112.20	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.79 / $51.29	Professional		$10.23	$14.79	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $53.70	Professional		$10.23	$14.45	$53.70