Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.37 / $162.37 / $162.37	Facility		$162.37	$162.37	$162.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.73 / $160.63 / $162.37	Professional		$115.73	$160.63	$162.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.28 / $198.64 / $382.93	Facility		$169.28	$198.64	$382.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $172.73 / $172.73	Professional		$138.18	$172.73	$172.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.98 / $630.66 / $1,517.14	Facility		$375.98	$630.66	$1,517.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.64 / $252.29 / $336.18	Professional		$200.64	$252.29	$336.18
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $344.68 / $576.58 / $1,194.59	Facility		$344.68	$576.58	$1,194.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $198.65 / $198.65 / $314.00	Professional		$198.65	$198.65	$314.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $306.73 / $475.01	Facility		$172.73	$306.73	$475.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $138.18 / $455.45	Professional		$95.00	$138.18	$455.45
United Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $172.73 / $374.48	Professional		$103.64	$172.73	$374.48