Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $150.47	Facility		$14.13	$14.13	$150.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $25.84 / $27.24	Professional		$12.99	$25.84	$27.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $48.22 / $108.97	Facility		$15.03	$48.22	$108.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.03 / $15.03	Professional		$12.02	$15.03	$15.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $54.94 / $132.18	Facility		$30.33	$54.94	$132.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $21.50 / $28.92	Professional		$17.10	$21.50	$28.92
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $50.23 / $104.08	Facility		$30.03	$50.23	$104.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $16.93 / $26.76	Professional		$16.93	$16.93	$26.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $35.99 / $136.71	Facility		$15.03	$35.99	$136.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $15.03 / $61.04	Professional		$7.52	$15.03	$61.04
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.02 / $32.01	Professional		$6.31	$12.02	$32.01