Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.70 / $62.70 / $150.02	Facility		$62.70	$62.70	$150.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $62.70 / $87.78	Professional		$35.35	$62.70	$87.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.03 / $66.70 / $117.96	Facility		$60.03	$66.70	$117.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $66.70 / $66.70	Professional		$53.36	$66.70	$66.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.50 / $243.66 / $586.16	Facility		$134.50	$243.66	$586.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $97.03 / $128.24	Professional		$77.17	$97.03	$128.24
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $222.77 / $461.55	Facility		$133.16	$222.77	$461.55
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $76.41 / $76.41 / $120.77	Professional		$76.41	$76.41	$120.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $142.38 / $352.98	Facility		$66.70	$142.38	$352.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $53.36 / $142.05	Professional		$28.01	$53.36	$142.05
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $66.70 / $143.74	Professional		$28.01	$66.70	$143.74