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 $22.39 / $22.39 / $67.61	Facility		$22.39	$22.39	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $22.39	Professional		$17.78	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $50.12 / $120.23	Facility		$29.51	$50.12	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.89 / $29.51	Professional		$16.60	$20.89	$29.51
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $44.67 / $95.50	Facility		$31.62	$44.67	$95.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $27.54	Professional		$16.60	$16.60	$27.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $12.30 / $112.20	Facility		$6.61	$12.30	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $51.29	Professional		$10.23	$14.45	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $53.70	Professional		$10.23	$14.45	$53.70