Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.22 / $72.22 / $318.00	Facility		$72.22	$72.22	$318.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $72.22 / $142.63	Professional		$54.97	$72.22	$142.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $57.88 / $653.39	Facility		$0.98	$57.88	$653.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.26 / $170.75 / $240.49	Professional		$112.26	$170.75	$240.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.03 / $249.64 / $600.54	Facility		$176.03	$249.64	$600.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.03 / $129.55 / $198.01	Professional		$103.03	$129.55	$198.01
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $138.61 / $228.23 / $472.86	Facility		$138.61	$228.23	$472.86
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $102.01 / $102.01 / $185.02	Professional		$102.01	$102.01	$185.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.67 / $120.79 / $196.16	Facility		$94.67	$120.79	$196.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $138.52 / $279.27	Professional		$82.27	$138.52	$279.27
United Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $130.88 / $238.97	Professional		$78.31	$130.88	$238.97