Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.12 / $103.12 / $229.00	Facility		$103.12	$103.12	$229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $94.81 / $146.03	Professional		$73.62	$94.81	$146.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.45 / $710.84 / $1,544.64	Facility		$318.45	$710.84	$1,544.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.55 / $282.43 / $342.55	Professional		$166.55	$282.43	$342.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.16 / $345.86 / $850.52	Facility		$204.16	$345.86	$850.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $186.91 / $309.39	Professional		$86.10	$186.91	$309.39
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $181.80 / $311.72 / $669.70	Facility		$181.80	$311.72	$669.70
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $147.18 / $174.20 / $297.11	Professional		$147.18	$174.20	$297.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $148.86 / $248.48	Facility		$85.45	$148.86	$248.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $153.41 / $640.03	Professional		$89.87	$153.41	$640.03
United Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $148.61 / $289.43	Professional		$88.80	$148.61	$289.43