Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $177.83	Professional		$95.50	$158.49	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,380.38 / $3,388.44	Facility		$186.21	$1,380.38	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $125.89	Professional		$100.00	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $691.83 / $1,621.81	Facility		$489.78	$691.83	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $275.42	Professional		$218.78	$257.04	$275.42
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $691.83 / $1,288.25	Facility		$524.81	$691.83	$1,288.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $295.12	Professional		$218.78	$218.78	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $295.12 / $436.52	Facility		$194.98	$295.12	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $489.78	Professional		$169.82	$263.03	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $489.78	Professional		$173.78	$251.19	$489.78