Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.95 / $309.95 / $546.00	Facility		$309.95	$309.95	$546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $81.02 / $704.02	Professional		$54.75	$81.02	$704.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $125.91 / $275.31	Facility		$109.49	$125.91	$275.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $109.49 / $109.49	Professional		$87.59	$109.49	$109.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.22 / $398.94 / $959.71	Facility		$220.22	$398.94	$959.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.81 / $159.44 / $209.97	Professional		$126.81	$159.44	$209.97
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $218.04 / $364.73 / $755.68	Facility		$218.04	$364.73	$755.68
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $125.55 / $198.45	Professional		$125.55	$125.55	$198.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $229.93 / $847.92	Facility		$109.49	$229.93	$847.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $87.59 / $288.70	Professional		$45.99	$87.59	$288.70
United Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $88.44 / $232.32	Professional		$45.99	$88.44	$232.32