Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $107.15	Professional		$74.13	$87.10	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $177.83 / $213.80	Facility		$169.82	$177.83	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $380.19	Facility		$95.50	$95.50	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $208.93	Professional		$165.96	$165.96	$208.93
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $295.12	Facility		$269.15	$269.15	$295.12
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $165.96 / $676.08	Facility		$52.48	$165.96	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $162.18	Professional		$46.77	$79.43	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $61.66 / $87.10	Facility		$1.26	$61.66	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $114.82 / $213.80	Professional		$46.77	$114.82	$213.80