Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $124.50 / $150.00	Professional		$120.00	$124.50	$150.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.24 / $131.38 / $191.25	Facility		$118.24	$131.38	$191.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $127.50 / $127.50	Professional		$102.00	$127.50	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.59 / $152.91 / $177.96	Facility		$102.59	$152.91	$177.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $88.49 / $139.01 / $202.19	Facility		$88.49	$139.01	$202.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $131.56 / $253.50	Facility		$131.56	$131.56	$253.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $172.53	Professional		$125.00	$125.00	$172.53
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $226.60	Professional		$125.00	$125.00	$226.60