Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $288.40	Professional		$169.82	$229.09	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $162.18	Facility		$23.99	$23.99	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $23.99	Professional		$19.05	$23.99	$23.99
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 / $45.71 / $112.20	Facility		$30.20	$45.71	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.79 / $51.29	Professional		$10.23	$14.79	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.79 / $53.70	Professional		$10.23	$14.79	$53.70