Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.47 / $58.47 / $58.47	Facility		$58.47	$58.47	$58.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $57.03 / $72.22	Professional		$50.99	$57.03	$72.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.80 / $112.42 / $1,300.00	Facility		$106.80	$112.42	$1,300.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.37 / $161.04 / $195.71	Professional		$106.37	$161.04	$195.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.05 / $218.58 / $525.83	Facility		$140.05	$218.58	$525.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $173.01 / $250.47	Professional		$93.74	$173.01	$250.47
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $140.05 / $179.89 / $414.04	Facility		$140.05	$179.89	$414.04
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $167.77 / $214.90	Professional		$105.82	$167.77	$214.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.47 / $98.81 / $175.44	Facility		$58.47	$98.81	$175.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $131.74 / $252.87	Professional		$70.53	$131.74	$252.87
United Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $135.16 / $222.23	Professional		$70.53	$135.16	$222.23