Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $73.48 / $73.48	Facility		$73.48	$73.48	$73.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $58.52 / $73.48	Professional		$30.47	$58.52	$73.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.73 / $87.73 / $87.73	Facility		$87.73	$87.73	$87.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $87.73 / $87.73	Professional		$72.33	$87.73	$87.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.51 / $250.89 / $315.47	Facility		$200.51	$250.89	$315.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $111.79 / $129.06	Professional		$102.64	$111.79	$129.06
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $200.51 / $248.40 / $521.14	Facility		$200.51	$248.40	$521.14
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $101.63 / $101.63	Professional		$60.50	$101.63	$101.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $73.48 / $87.73	Facility		$49.62	$73.48	$87.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $33.34 / $65.92	Professional		$22.23	$33.34	$65.92
United Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $33.34 / $67.73	Professional		$22.23	$33.34	$67.73