Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.78 / $162.78 / $162.78	Facility		$162.78	$162.78	$162.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $162.78 / $207.80	Professional		$121.22	$162.78	$207.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.71 / $189.36 / $431.05	Facility		$169.71	$189.36	$431.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $173.17 / $173.17	Professional		$138.54	$173.17	$173.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.69 / $631.86 / $1,520.02	Facility		$376.69	$631.86	$1,520.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.06 / $252.81 / $336.88	Professional		$201.06	$252.81	$336.88
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $345.33 / $577.66 / $1,196.85	Facility		$345.33	$577.66	$1,196.85
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $199.07 / $314.64	Professional		$199.07	$199.07	$314.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.80 / $346.34 / $524.71	Facility		$207.80	$346.34	$524.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $207.80 / $600.91	Professional		$110.31	$207.80	$600.91
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $190.85 / $475.10	Professional		$103.90	$190.85	$475.10