Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $38.38 / $38.38	Facility		$38.38	$38.38	$38.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $36.10 / $47.12	Professional		$21.50	$36.10	$47.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $90.78 / $218.38	Facility		$63.98	$90.78	$218.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $33.44 / $36.20	Professional		$28.79	$33.44	$36.20
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $82.99 / $171.95	Facility		$50.40	$82.99	$171.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $32.49	Professional		$28.50	$28.50	$32.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $38.38 / $49.89	Facility		$23.66	$38.38	$49.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $56.16 / $109.47	Professional		$29.70	$56.16	$109.47
United Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $47.50 / $98.82	Professional		$27.50	$47.50	$98.82