Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.20 / $104.20 / $104.20	Facility		$104.20	$104.20	$104.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.08 / $104.20 / $119.30	Professional		$94.08	$104.20	$119.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.42 / $203.60 / $1,300.00	Facility		$193.42	$203.60	$1,300.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.11 / $321.62 / $410.59	Professional		$182.11	$321.62	$410.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.25 / $358.14 / $784.23	Facility		$250.25	$358.14	$784.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $134.88 / $155.72	Professional		$123.85	$134.88	$155.72
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $216.87 / $321.44 / $739.84	Facility		$216.87	$321.44	$739.84
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $122.63 / $122.63 / $130.80	Professional		$122.63	$122.63	$130.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.20 / $175.20 / $280.48	Facility		$104.20	$175.20	$280.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.05 / $242.79 / $456.76	Professional		$129.05	$242.79	$456.76
United Facility/Professional Professional Modifier Low / Median / High Price $129.05 / $241.99 / $401.42	Professional		$129.05	$241.99	$401.42