Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.11 / $73.11 / $199.50	Facility		$73.11	$73.11	$199.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $62.22 / $73.11	Professional		$49.63	$62.22	$73.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.66 / $77.78 / $108.97	Facility		$56.66	$77.78	$108.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $77.78 / $77.78	Professional		$62.22	$77.78	$77.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.91 / $284.27 / $683.86	Facility		$156.91	$284.27	$683.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $113.29 / $149.62	Professional		$90.10	$113.29	$149.62
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $155.37 / $259.89 / $538.48	Facility		$155.37	$259.89	$538.48
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $89.21 / $141.00	Professional		$89.21	$89.21	$141.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.72 / $112.78 / $369.46	Facility		$53.72	$112.78	$369.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $49.55 / $165.03	Professional		$26.39	$49.55	$165.03
United Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $49.55 / $165.65	Professional		$26.39	$49.55	$165.65