Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $75.86	Professional		$41.69	$46.77	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $870.96 / $1,995.26	Facility		$295.12	$870.96	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $169.82	Professional		$70.79	$104.71	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $169.82 / $398.11	Facility		$120.23	$169.82	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $218.78	Professional		$95.50	$144.54	$218.78
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $162.18 / $316.23	Facility		$128.82	$162.18	$316.23
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $181.97	Professional		$87.10	$123.03	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $93.33 / $1,949.84	Facility		$51.29	$93.33	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $194.98	Professional		$60.26	$97.72	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $3,715.35	Facility		$1,096.48	$1,862.09	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $186.21	Professional		$56.23	$97.72	$186.21