Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $199.53	Facility		$100.00	$100.00	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $131.83	Professional		$100.00	$100.00	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $107.15	Facility		$97.72	$97.72	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $97.72	Professional		$77.62	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $109.65 / $295.12	Facility		$102.33	$109.65	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $128.82	Professional		$102.33	$120.23	$128.82
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $109.65	Professional		$102.33	$102.33	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $190.55	Facility		$100.00	$100.00	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $131.83	Professional		$100.00	$100.00	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $181.97	Professional		$100.00	$100.00	$181.97