Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $34.67 / $34.67	Facility		$25.12	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $42.66	Professional		$21.88	$28.84	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.62 / $81.28	Facility		$18.20	$18.62	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $58.88 / $97.72	Professional		$33.88	$58.88	$97.72
BCBS Facility/Professional Professional Modifier CQ Low / Median / High Price $41.69 / $41.69 / $41.69	Professional	CQ	$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $100.00 / $239.88	Facility		$74.13	$100.00	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $114.82	Professional		$41.69	$63.10	$114.82
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $97.72 / $223.87	Facility		$74.13	$97.72	$223.87
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $107.15	Professional		$41.69	$64.57	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.11 / $53.70	Facility		$22.91	$33.11	$53.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $72.44 / $199.53	Professional		$33.11	$72.44	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $56.23 / $104.71	Professional		$27.54	$56.23	$104.71