Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Facility		$42.90	$42.90	$42.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $47.19	Professional		$42.90	$42.90	$47.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.04 / $61.74 / $99.60	Facility		$42.04	$61.74	$99.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $42.90 / $42.90	Professional		$34.32	$42.90	$42.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.13 / $136.16 / $165.77	Facility		$79.13	$136.16	$165.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $51.41 / $54.29	Professional		$43.18	$51.41	$54.29
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $68.25 / $124.26 / $155.94	Facility		$68.25	$124.26	$155.94
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $42.75 / $59.85	Professional		$42.75	$42.75	$59.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.47 / $72.50 / $79.43	Facility		$50.47	$72.50	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $55.52 / $66.06	Professional		$50.47	$55.52	$66.06
United Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $55.52 / $91.64	Professional		$50.47	$55.52	$91.64