Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $36.31 / $134.90	Facility		$26.92	$36.31	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.69 / $41.69	Professional		$33.88	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $158.49	Facility		$125.89	$125.89	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $63.10	Professional		$50.12	$50.12	$63.10
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $181.97	Facility		$123.03	$123.03	$181.97
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $97.72	Professional		$50.12	$50.12	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $177.83 / $204.17	Facility		$120.23	$177.83	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $181.97 / $338.84	Professional		$23.99	$181.97	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $123.03	Facility		$58.88	$58.88	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $29.51 / $87.10	Professional		$14.45	$29.51	$87.10