Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $26.88 / $167.00	Facility		$26.88	$26.88	$167.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $80.75 / $112.57 / $123.12	Facility	CQ	$80.75	$112.57	$123.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.03 / $52.93	Professional		$14.40	$19.03	$52.93
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.66 / $38.93 / $38.93	Professional	CQ	$21.66	$38.93	$38.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $38.65 / $83.81	Facility		$25.62	$38.65	$83.81
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 / $46.79	Professional		$25.08	$25.08	$46.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $70.06 / $135.41	Facility		$28.34	$70.06	$135.41
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 $24.40 / $34.67 / $97.58	Professional		$24.40	$34.67	$97.58
United Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $29.26 / $89.20	Professional		$24.40	$29.26	$89.20