Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Facility		$68.90	$68.90	$68.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $68.90 / $82.55	Professional		$56.59	$68.90	$82.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.88 / $119.83 / $231.87	Facility		$57.88	$119.83	$231.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $193.05 / $241.66	Professional		$109.49	$193.05	$241.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.83 / $234.86 / $577.54	Facility		$153.83	$234.86	$577.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $80.65 / $95.73	Professional		$75.38	$80.65	$95.73
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $153.83 / $197.58 / $454.76	Facility		$153.83	$197.58	$454.76
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $75.38 / $80.40	Professional		$75.38	$75.38	$80.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.62 / $103.83 / $175.09	Facility		$65.62	$103.83	$175.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $138.88 / $347.04	Professional		$75.28	$138.88	$347.04
United Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $135.69 / $265.00	Professional		$75.06	$135.69	$265.00