Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.70 / $108.70 / $318.00	Facility		$108.70	$108.70	$318.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $108.70 / $209.51	Professional		$84.17	$108.70	$209.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.48 / $794.15 / $1,589.09	Facility		$447.48	$794.15	$1,589.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $255.10 / $364.83	Professional		$171.00	$255.10	$364.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.63 / $373.86 / $899.37	Facility		$263.63	$373.86	$899.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $202.38 / $309.33	Professional		$160.94	$202.38	$309.33
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $341.80 / $708.16	Facility		$207.58	$341.80	$708.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $159.36 / $289.04	Professional		$159.36	$159.36	$289.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.49 / $212.09 / $1,084.95	Facility		$151.49	$212.09	$1,084.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $216.56 / $388.34	Professional		$126.71	$216.56	$388.34
United Facility/Professional Professional Modifier Low / Median / High Price $124.22 / $217.98 / $332.29	Professional		$124.22	$217.98	$332.29