Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $107.15 / $134.90	Facility		$10.00	$107.15	$134.90
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $91.20 / $97.72 / $114.82	Facility	CQ	$91.20	$97.72	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $20.89	Professional		$7.08	$10.00	$20.89
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $7.24 / $28.18 / $28.84	Professional	CQ	$7.24	$28.18	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $24.55 / $48.98	Facility		$10.72	$24.55	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $36.31	Professional		$14.13	$25.70	$36.31
BCBS Facility/Professional Professional Modifier CQ Low / Median / High Price $26.30 / $26.30 / $26.30	Professional	CQ	$26.30	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $50.12 / $64.57	Facility		$29.51	$50.12	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $19.95	Professional		$10.00	$12.59	$19.95
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $47.86 / $51.29	Facility		$33.11	$47.86	$51.29
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $15.85	Professional		$9.77	$9.77	$15.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $20.89 / $141.25	Facility		$11.22	$20.89	$141.25
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $22.39 / $48.98 / $48.98	Facility	CQ	$22.39	$48.98	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $46.77	Professional		$11.22	$14.13	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.18 / $13.18	Facility		$12.02	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $34.67	Professional		$10.72	$14.45	$34.67