Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $218.76 / $365.97	Facility		$26.88	$218.76	$365.97
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $227.68 / $227.68 / $374.54	Facility	CO	$227.68	$227.68	$374.54
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $94.20 / $251.82 / $878.58	Facility	CQ	$94.20	$251.82	$878.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $28.27 / $178.00	Professional		$12.00	$28.27	$178.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $136.57 / $136.57 / $148.03	Professional	CO	$136.57	$136.57	$148.03
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $40.96 / $48.93 / $236.51	Professional	CQ	$40.96	$48.93	$236.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $61.22 / $155.00	Facility		$25.62	$61.22	$155.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $64.79 / $79.34	Professional		$34.82	$64.79	$79.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.84 / $98.07 / $161.56	Facility		$62.84	$98.07	$161.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $31.85 / $50.29	Professional		$25.33	$31.85	$50.29
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $61.01 / $95.92 / $127.21	Facility		$61.01	$95.92	$127.21
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $25.08 / $39.60	Professional		$25.08	$25.08	$39.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $100.01 / $171.89	Facility		$39.72	$100.01	$171.89
Medica Facility/Professional Facility Modifier CO Low / Median / High Price $56.39 / $114.53 / $114.53	Facility	CO	$56.39	$114.53	$114.53
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $56.39 / $114.53 / $114.53	Facility	CQ	$56.39	$114.53	$114.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $67.56 / $87.11	Professional		$29.88	$67.56	$87.11
United Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $31.11 / $90.00	Professional		$26.69	$31.11	$90.00