Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $107.15 / $125.89	Facility		$15.14	$107.15	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $331.13	Professional		$89.13	$120.23	$331.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $102.33 / $257.04 / $309.03	Professional	52	$102.33	$257.04	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $562.34 / $1,348.96	Facility		$251.19	$562.34	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $457.09	Professional		$190.55	$281.84	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $478.63 / $1,148.15	Facility		$338.84	$478.63	$1,148.15
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	52	$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $549.54	Professional		$218.78	$363.08	$549.54
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $457.09 / $891.25	Facility		$371.54	$457.09	$891.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $512.86	Professional		$213.80	$323.59	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $223.87 / $758.58	Facility		$120.23	$223.87	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $812.83	Professional		$123.03	$229.09	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,819.70 / $3,467.37	Facility		$602.56	$1,819.70	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $407.38	Professional		$112.20	$204.17	$407.38