Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.25 / $117.25 / $143.18	Facility		$117.25	$117.25	$143.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $124.91 / $223.21	Professional		$85.43	$124.91	$223.21
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $101.29 / $101.29 / $112.74	Facility		$101.29	$101.29	$112.74
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $108.15 / $195.64	Professional		$85.43	$108.15	$195.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.75 / $135.00	Facility		$25.00	$25.75	$135.00