Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.44 / $96.44 / $96.44	Facility		$96.44	$96.44	$96.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $93.08 / $108.93	Professional		$79.19	$93.08	$108.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.50 / $371.96 / $1,077.55	Facility		$185.50	$371.96	$1,077.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.26 / $207.58 / $280.43	Professional		$153.26	$207.58	$280.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.92 / $363.11 / $873.51	Facility		$255.92	$363.11	$873.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $133.76 / $144.78	Professional		$115.14	$133.76	$144.78
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $201.61 / $331.97 / $687.80	Facility		$201.61	$331.97	$687.80
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $114.00 / $129.96	Professional		$114.00	$114.00	$129.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $133.46 / $211.50	Facility		$89.85	$133.46	$211.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $215.56 / $385.79	Professional		$123.64	$215.56	$385.79
United Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $228.95 / $377.47	Professional		$123.64	$228.95	$377.47