Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $131.99 / $229.00	Facility		$58.90	$131.99	$229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.66 / $135.78 / $201.11	Professional		$93.66	$135.78	$201.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $15.83 / $53.27	Facility		$15.21	$15.83	$53.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $15.36 / $15.83	Professional		$13.05	$15.36	$15.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.78 / $275.91 / $663.75	Facility		$176.78	$275.91	$663.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $158.97 / $268.29	Professional		$118.40	$158.97	$268.29
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $153.19 / $243.27 / $522.64	Facility		$153.19	$243.27	$522.64
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $117.23 / $138.76 / $236.66	Professional		$117.23	$138.76	$236.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.97 / $151.26 / $229.40	Facility		$66.97	$151.26	$229.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $243.32 / $487.12	Professional		$142.60	$243.32	$487.12
United Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $229.81 / $394.25	Professional		$136.41	$229.81	$394.25