Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $30.20	Professional		$15.14	$19.05	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $102.33	Facility		$20.42	$20.42	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $20.42	Professional		$16.60	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $77.62 / $190.55	Facility		$39.81	$77.62	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $39.81	Professional		$23.99	$30.20	$39.81
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $70.79 / $147.91	Facility		$50.12	$70.79	$147.91
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $38.90	Professional		$23.44	$23.44	$38.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $39.81 / $109.65	Facility		$20.42	$39.81	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $43.65	Professional		$10.23	$14.45	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $20.42 / $24.55	Facility		$15.14	$20.42	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $20.42 / $45.71	Professional		$8.71	$20.42	$45.71