Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $104.71 / $104.71	Facility		$102.33	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $104.71	Professional		$83.18	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,659.59 / $4,570.88	Facility		$851.14	$1,659.59	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $645.65	Professional		$512.86	$562.34	$645.65
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $3,548.13	Facility		$1,023.29	$1,698.24	$3,548.13
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $691.83	Professional		$512.86	$512.86	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $100.00	Facility		$39.81	$39.81	$100.00