Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $251.19	Professional		$138.04	$169.82	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $208.93 / $208.93	Facility		$41.69	$208.93	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $208.93	Professional		$165.96	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $794.33 / $1,905.46	Facility		$407.38	$794.33	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $407.38	Professional		$245.47	$302.00	$407.38
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $724.44 / $1,513.56	Facility		$501.19	$724.44	$1,513.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $398.11	Professional		$239.88	$239.88	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $275.42 / $1,000.00	Facility		$208.93	$275.42	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $446.68	Professional		$87.10	$125.89	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $208.93 / $251.19	Facility		$97.72	$208.93	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $204.17 / $457.09	Professional		$87.10	$204.17	$457.09