Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Facility		$106.97	$106.97	$106.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $110.18	Professional		$106.97	$106.97	$110.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $28.63 / $64.75	Facility		$1.00	$28.63	$64.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $61.51 / $64.75	Professional		$39.45	$61.51	$64.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.22 / $116.18 / $163.30	Facility		$63.22	$116.18	$163.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $48.23 / $49.41	Professional		$38.97	$48.23	$49.41
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $56.15 / $106.47 / $147.16	Facility		$56.15	$106.47	$147.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $38.59 / $44.92	Professional		$38.59	$38.59	$44.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $64.75 / $142.57	Facility		$64.75	$64.75	$142.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $64.75 / $148.53	Professional		$64.75	$64.75	$148.53
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $193.92	Professional		$106.97	$106.97	$193.92