Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $206.59 / $413.24	Facility		$206.59	$206.59	$413.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $457.16	Professional		$206.59	$206.59	$457.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.44 / $237.57 / $443.61	Facility		$188.44	$237.57	$443.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $206.62 / $206.62	Professional		$165.30	$206.62	$206.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.28 / $246.42 / $631.77	Facility		$214.28	$246.42	$631.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.44 / $241.43 / $260.83	Professional		$207.44	$241.43	$260.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $207.61 / $210.49 / $210.49	Facility		$207.61	$210.49	$210.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $205.39 / $205.39 / $219.48	Professional		$205.39	$205.39	$219.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.41 / $206.62 / $349.19	Facility		$165.41	$206.62	$349.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.62 / $206.62 / $319.45	Professional		$206.62	$206.62	$319.45
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $374.51	Professional		$206.59	$206.59	$374.51