Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $164.59 / $336.26	Facility		$164.59	$164.59	$336.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $169.53 / $238.65	Professional		$164.59	$169.53	$238.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.30 / $206.88 / $418.04	Facility		$167.30	$206.88	$418.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.50 / $168.13 / $169.50	Professional		$134.50	$168.13	$169.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.72 / $196.33 / $523.42	Facility		$170.72	$196.33	$523.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.05 / $200.02 / $211.31	Professional		$168.05	$200.02	$211.31
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $167.70 / $167.70 / $172.01	Facility		$167.70	$167.70	$172.01
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $166.39 / $166.39 / $181.84	Professional		$166.39	$166.39	$181.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $168.13 / $318.95	Facility		$168.13	$168.13	$318.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $168.13 / $232.05	Professional		$168.13	$168.13	$232.05
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $296.26	Professional		$164.59	$164.59	$296.26