Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.82 / $115.82 / $115.82	Facility		$115.82	$115.82	$115.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $115.82 / $130.31	Professional		$99.34	$115.82	$130.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.98 / $442.10 / $1,041.28	Facility		$219.98	$442.10	$1,041.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.37 / $290.75 / $455.16	Professional		$186.37	$290.75	$455.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.19 / $564.97 / $1,359.11	Facility		$398.19	$564.97	$1,359.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $178.88 / $227.17	Professional		$139.38	$178.88	$227.17
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $313.69 / $515.57 / $1,070.16	Facility		$313.69	$515.57	$1,070.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $178.88 / $187.68	Professional		$138.00	$178.88	$187.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.81 / $190.65 / $327.42	Facility		$112.81	$190.65	$327.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $276.26 / $750.24	Professional		$152.08	$276.26	$750.24
United Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $259.02 / $444.75	Professional		$157.85	$259.02	$444.75