Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $114.82	Professional		$72.44	$87.10	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $660.69	Facility		$194.98	$275.42	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $102.33	Professional		$79.43	$91.20	$102.33
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $263.03 / $512.86	Facility		$213.80	$263.03	$512.86
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $109.65	Professional		$79.43	$79.43	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $104.71 / $141.25	Facility		$72.44	$104.71	$141.25