Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.32 / $150.00 / $612.54	Facility		$125.32	$150.00	$612.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.48 / $139.35 / $150.00	Professional		$111.48	$139.35	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.60 / $127.60 / $155.82	Facility		$127.60	$127.60	$155.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $135.93 / $242.91	Professional		$92.96	$135.93	$242.91
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $110.22 / $110.22 / $122.69	Facility		$110.22	$110.22	$122.69
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $117.92 / $208.55	Professional		$92.96	$117.92	$208.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $61.80 / $260.00	Facility		$60.00	$61.80	$260.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $159.38 / $192.66	Professional		$80.00	$159.38	$192.66
United Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $135.19 / $197.00	Professional		$80.00	$135.19	$197.00