Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $346.74	Professional		$204.17	$275.42	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $162.18	Facility		$30.20	$30.20	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.20 / $30.20	Professional		$24.55	$30.20	$30.20
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 $30.20 / $30.20 / $50.12	Facility		$30.20	$30.20	$50.12