Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Facility		$19.00	$19.00	$19.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $26.61	Professional		$19.00	$19.00	$26.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.17 / $52.74 / $194.47	Facility		$34.17	$52.74	$194.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $21.99 / $38.94	Professional		$18.10	$21.99	$38.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $28.46 / $96.01	Facility		$23.00	$28.46	$96.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $31.92 / $38.88	Professional		$29.29	$31.92	$38.88
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $22.77 / $41.29	Facility		$22.77	$22.77	$41.29
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $29.29 / $34.79	Professional		$26.07	$29.29	$34.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $21.99 / $48.48	Facility		$21.99	$21.99	$48.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $24.48 / $58.96	Professional		$21.99	$24.48	$58.96
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $20.14 / $39.90	Professional		$19.00	$20.14	$39.90