Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.49 / $62.49 / $62.49	Facility		$62.49	$62.49	$62.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $54.02 / $97.19	Professional		$42.49	$54.02	$97.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $89.93 / $125.23	Facility		$77.04	$89.93	$125.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $85.43 / $89.93	Professional		$71.94	$85.43	$89.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $274.58 / $642.73	Facility		$58.00	$274.58	$642.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.25 / $110.51 / $132.40	Professional		$104.25	$110.51	$132.40
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $164.61 / $266.02 / $606.35	Facility		$164.61	$266.02	$606.35
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $104.25 / $104.25 / $107.20	Professional		$104.25	$104.25	$107.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $89.93 / $472.21	Facility		$29.84	$89.93	$472.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $67.59 / $105.48	Professional		$34.24	$67.59	$105.48
United Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $44.87 / $104.74	Professional		$29.91	$44.87	$104.74