Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $58.44 / $229.00	Facility		$58.44	$58.44	$229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $58.44 / $135.66	Professional		$49.31	$58.44	$135.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.80 / $857.73 / $1,692.97	Facility		$499.80	$857.73	$1,692.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $166.36 / $201.77	Professional		$101.91	$166.36	$201.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.81 / $192.79 / $474.11	Facility		$113.81	$192.79	$474.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $106.35 / $214.98	Professional		$80.78	$106.35	$214.98
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $173.76 / $373.31	Facility		$101.34	$173.76	$373.31
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $99.12 / $169.04	Professional		$83.74	$99.12	$169.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.39 / $137.44 / $328.48	Facility		$62.39	$137.44	$328.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $123.83 / $2,895.10	Professional		$68.28	$123.83	$2,895.10
United Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $120.80 / $210.34	Professional		$62.07	$120.80	$210.34