Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $281.84	Professional		$165.96	$223.87	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $67.61	Facility		$20.89	$20.89	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.89 / $20.89	Professional		$16.60	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $58.88 / $141.25	Facility		$34.67	$58.88	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $34.67	Professional		$19.50	$24.55	$34.67
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $52.48 / $112.20	Facility		$37.15	$52.48	$112.20
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $32.36	Professional		$19.50	$19.50	$32.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $26.92 / $112.20	Facility		$5.01	$26.92	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.79 / $50.12	Professional		$10.23	$14.79	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $53.70	Professional		$10.23	$14.45	$53.70