Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $112.80 / $112.80	Facility		$112.80	$112.80	$112.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $112.80 / $144.00	Professional		$84.00	$112.80	$144.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.60 / $189.18 / $453.74	Facility		$117.60	$189.18	$453.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $120.00 / $120.00	Professional		$96.00	$120.00	$120.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.62 / $437.16 / $1,051.66	Facility		$260.62	$437.16	$1,051.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.32 / $175.19 / $233.44	Professional		$139.32	$175.19	$233.44
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $238.92 / $399.67 / $828.08	Facility		$238.92	$399.67	$828.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $218.04	Professional		$137.94	$137.94	$218.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $210.00 / $330.00	Facility		$120.00	$210.00	$330.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $96.00 / $316.42	Professional		$61.20	$96.00	$316.42
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $120.00 / $254.62	Professional		$60.00	$120.00	$254.62