Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.93 / $108.93 / $108.93	Facility		$108.93	$108.93	$108.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.47 / $108.93 / $131.29	Professional		$87.47	$108.93	$131.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.74 / $199.89 / $238.90	Facility		$177.74	$199.89	$238.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.11 / $200.61 / $215.94	Professional		$164.11	$200.61	$215.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $473.82 / $1,316.01	Facility		$123.50	$473.82	$1,316.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.25 / $190.01 / $227.65	Professional		$179.25	$190.01	$227.65
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $272.88 / $482.32 / $1,036.23	Facility		$272.88	$482.32	$1,036.23
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $179.25 / $179.25 / $183.20	Professional		$179.25	$179.25	$183.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $156.76 / $725.63	Facility		$84.93	$156.76	$725.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.24 / $87.67 / $185.47	Professional		$52.24	$87.67	$185.47
United Facility/Professional Professional Modifier Low / Median / High Price $52.24 / $87.67 / $270.92	Professional		$52.24	$87.67	$270.92