Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $190.55	Professional		$112.20	$151.36	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $158.49	Facility		$10.00	$10.00	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.00 / $10.00	Professional		$8.13	$10.00	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $72.44 / $173.78	Facility		$42.66	$72.44	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $42.66	Professional		$23.99	$30.20	$42.66
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $64.57 / $138.04	Facility		$45.71	$64.57	$138.04
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $39.81	Professional		$23.99	$23.99	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $36.31 / $50.12	Facility		$21.88	$36.31	$50.12