Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $52.51 / $179.00	Facility		$30.89	$52.51	$179.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $60.02 / $116.28 / $282.60	Facility	CQ	$60.02	$116.28	$282.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $28.57 / $260.00	Professional		$14.40	$28.57	$260.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $50.00 / $50.00 / $50.00	Professional	CO	$50.00	$50.00	$50.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $34.69 / $39.27 / $49.64	Professional	CQ	$34.69	$39.27	$49.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $69.66 / $177.00	Facility		$28.50	$69.66	$177.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $74.36 / $91.07	Professional		$38.72	$74.36	$91.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.12 / $112.56 / $185.43	Facility		$72.12	$112.56	$185.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.43 / $57.72	Professional		$28.18	$35.43	$57.72
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $70.02 / $110.09 / $146.01	Facility		$70.02	$110.09	$146.01
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $27.90 / $45.45	Professional		$27.90	$27.90	$45.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.76 / $84.64 / $138.97	Facility		$36.76	$84.64	$138.97
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $62.75 / $127.37 / $127.37	Facility	CQ	$62.75	$127.37	$127.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $72.97 / $99.03	Professional		$33.58	$72.97	$99.03
United Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $33.61 / $97.87	Professional		$29.12	$33.61	$97.87