Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.51 / $41.51 / $41.51	Facility		$41.51	$41.51	$41.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.51 / $41.51 / $73.53	Professional		$41.51	$41.51	$73.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.98 / $549.75 / $1,172.71	Facility		$258.98	$549.75	$1,172.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $124.90 / $174.79	Professional		$83.48	$124.90	$174.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.18 / $157.66 / $379.29	Facility		$111.18	$157.66	$379.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $152.01 / $215.28	Professional		$89.73	$152.01	$215.28
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $144.13 / $298.64	Facility		$90.38	$144.13	$298.64
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $135.19 / $179.16	Professional		$79.00	$135.19	$179.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.63 / $85.36 / $1,727.00	Facility		$63.63	$85.36	$1,727.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $124.83 / $207.55	Professional		$65.16	$124.83	$207.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,063.00 / $1,597.44 / $3,584.00	Facility		$1,063.00	$1,597.44	$3,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $113.02 / $196.26	Professional		$60.50	$113.02	$196.26