Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $98.33 / $254.00	Facility		$34.03	$98.33	$254.00
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $114.51 / $114.51 / $538.00	Facility	CO	$114.51	$114.51	$538.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $98.00 / $128.10 / $294.00	Facility	CQ	$98.00	$128.10	$294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $32.50 / $211.65	Professional		$14.40	$32.50	$211.65
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $54.47 / $54.47 / $54.47	Professional	CO	$54.47	$54.47	$54.47
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $27.07 / $27.07 / $105.45	Professional	CQ	$27.07	$27.07	$105.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.81 / $102.94 / $235.66	Facility		$30.81	$102.94	$235.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $80.98 / $99.19	Professional		$41.85	$80.98	$99.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $123.70 / $203.79	Facility		$79.27	$123.70	$203.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $38.65 / $62.44	Professional		$30.74	$38.65	$62.44
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $120.99 / $160.46	Facility		$76.95	$120.99	$160.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $30.43 / $49.95	Professional		$30.43	$30.43	$49.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.04 / $89.31 / $142.86	Facility		$42.04	$89.31	$142.86
Medica Facility/Professional Facility Modifier CO Low / Median / High Price $65.76 / $137.66 / $137.66	Facility	CO	$65.76	$137.66	$137.66
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $65.76 / $137.66 / $137.66	Facility	CQ	$65.76	$137.66	$137.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $61.45 / $106.79	Professional		$36.07	$61.45	$106.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $36.38 / $108.01	Professional		$30.26	$36.38	$108.01