Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $191.40 / $449.79	Facility		$79.98	$191.40	$449.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.97 / $77.15 / $422.75	Professional		$62.97	$77.15	$422.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.78 / $85.10 / $104.81	Facility		$46.78	$85.10	$104.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $85.10 / $85.10	Professional		$68.08	$85.10	$85.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.14 / $310.55 / $747.08	Facility		$185.14	$310.55	$747.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.86 / $124.31 / $165.64	Professional		$98.86	$124.31	$165.64
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $283.92 / $588.25	Facility		$169.73	$283.92	$588.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $97.88 / $154.71	Professional		$97.88	$97.88	$154.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.19 / $166.57 / $268.07	Facility		$76.19	$166.57	$268.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $85.10 / $439.92	Professional		$48.69	$85.10	$439.92
United Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $85.10 / $195.21	Professional		$43.40	$85.10	$195.21