Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $239.88	Facility		$89.13	$89.13	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $204.17	Professional		$66.07	$85.11	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $776.25 / $1,819.70	Facility		$380.19	$776.25	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $295.12	Professional		$134.90	$194.98	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $316.23 / $741.31	Facility		$194.98	$316.23	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $245.47	Professional		$89.13	$154.88	$245.47
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $295.12 / $588.84	Facility		$239.88	$295.12	$588.84
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $194.98	Professional		$125.89	$125.89	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $151.36 / $218.78	Facility		$83.18	$151.36	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $616.60	Professional		$83.18	$144.54	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $616.60 / $831.76	Facility		$602.56	$616.60	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $251.19	Professional		$83.18	$141.25	$251.19