Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $194.98	Facility		$190.55	$190.55	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $239.88	Professional		$190.55	$190.55	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $239.88 / $257.04	Facility		$162.18	$239.88	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $190.55	Professional		$138.04	$173.78	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $245.47	Facility		$194.98	$204.17	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $251.19	Professional		$194.98	$234.42	$251.19
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $478.63	Facility		$190.55	$190.55	$478.63
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $234.42	Professional		$194.98	$194.98	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $162.18 / $323.59	Facility		$144.54	$162.18	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $208.93	Professional		$169.82	$177.83	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $257.04	Professional		$169.82	$186.21	$257.04