Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $338.84	Professional		$199.53	$269.15	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $25.12 / $67.61	Facility		$24.55	$25.12	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $25.12	Professional		$20.42	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $51.29 / $123.03	Facility		$30.20	$51.29	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $30.20	Professional		$16.98	$21.38	$30.20
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $45.71 / $97.72	Facility		$32.36	$45.71	$97.72
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $28.18	Professional		$16.98	$16.98	$28.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $7.76 / $23.99	Facility		$6.46	$7.76	$23.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30