Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $93.33	Professional		$40.74	$57.54	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $112.20 / $165.96	Facility		$109.65	$112.20	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $112.20	Professional		$89.13	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $416.87 / $1,000.00	Facility		$239.88	$416.87	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $165.96	Professional		$128.82	$147.91	$165.96
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $416.87 / $794.33	Facility		$323.59	$416.87	$794.33
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $177.83	Professional		$128.82	$128.82	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $112.20 / $204.17	Facility		$41.69	$112.20	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $112.20	Professional		$32.36	$47.86	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $64.57 / $131.83	Facility		$0.78	$64.57	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $131.83	Professional		$32.36	$53.70	$131.83