Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.05 / $169.32 / $212.68	Facility		$52.05	$169.32	$212.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $31.59 / $93.84	Professional		$22.81	$31.59	$93.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.39 / $38.64 / $87.97	Facility		$34.39	$38.64	$87.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $35.09 / $35.09	Professional		$28.07	$35.09	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.84 / $241.28 / $580.41	Facility		$143.84	$241.28	$580.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.26 / $105.95 / $141.18	Professional		$84.26	$105.95	$141.18
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $131.87 / $220.58 / $457.03	Facility		$131.87	$220.58	$457.03
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $83.43 / $131.87	Professional		$83.43	$83.43	$131.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.63 / $94.08 / $195.30	Facility		$49.63	$94.08	$195.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $42.11 / $201.93	Professional		$21.05	$42.11	$201.93
United Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $28.07 / $74.73	Professional		$17.55	$28.07	$74.73