Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.80 / $93.80 / $93.80	Facility		$93.80	$93.80	$93.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $104.40 / $172.65	Professional		$93.80	$104.40	$172.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.68 / $446.51 / $1,467.41	Facility		$207.68	$446.51	$1,467.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.47 / $304.94 / $370.70	Professional		$180.47	$304.94	$370.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.35 / $339.22 / $816.04	Facility		$217.35	$339.22	$816.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.28 / $308.00 / $423.09	Professional		$172.28	$308.00	$423.09
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $188.35 / $309.56 / $642.54	Facility		$188.35	$309.56	$642.54
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $170.57 / $280.75 / $386.83	Professional		$170.57	$280.75	$386.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $170.44 / $319.70	Facility		$104.40	$170.44	$319.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $241.31 / $1,061.66	Professional		$122.96	$241.31	$1,061.66
United Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $3,500.00 / $8,152.00	Facility		$796.00	$3,500.00	$8,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $222.22 / $411.93	Professional		$117.84	$222.22	$411.93