Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.21 / $52.21 / $52.21	Facility		$52.21	$52.21	$52.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $51.65 / $52.21	Professional		$38.88	$51.65	$52.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $177.50 / $401.56	Facility		$55.54	$177.50	$401.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $55.54 / $55.54	Professional		$44.43	$55.54	$55.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.06 / $204.69 / $488.47	Facility		$121.06	$204.69	$488.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $81.30 / $106.87	Professional		$64.66	$81.30	$106.87
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $110.98 / $185.64 / $384.63	Facility		$110.98	$185.64	$384.63
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $64.02 / $101.18	Professional		$64.02	$64.02	$101.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $102.75 / $263.82	Facility		$55.54	$102.75	$263.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $35.38 / $117.84	Professional		$23.33	$35.38	$117.84
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $35.38 / $118.28	Professional		$23.33	$35.38	$118.28