Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $15.10 / $23.95	Facility		$13.59	$15.10	$23.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $28.30 / $28.30	Professional		$22.64	$28.30	$28.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.88 / $47.88 / $60.20	Facility		$47.88	$47.88	$60.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $23.81 / $130.28	Professional		$18.94	$23.81	$130.28
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $47.41 / $47.41 / $67.50	Facility		$47.41	$47.41	$67.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $18.75 / $102.58	Professional		$18.75	$18.75	$102.58
United Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $28.75 / $28.75	Professional		$28.75	$28.75	$28.75