Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $104.73 / $209.90	Facility		$104.73	$104.73	$209.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $241.04	Professional		$104.73	$104.73	$241.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.37 / $120.44 / $211.54	Facility		$91.37	$120.44	$211.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $104.95 / $104.95	Professional		$83.96	$104.95	$104.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.70 / $326.44 / $397.42	Facility		$189.70	$326.44	$397.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $120.25 / $130.02	Professional		$103.40	$120.25	$130.02
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $163.62 / $297.89 / $373.87	Facility		$163.62	$297.89	$373.87
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $102.38 / $139.22	Professional		$102.38	$102.38	$139.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $104.95 / $177.37	Facility		$104.95	$104.95	$177.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $104.95 / $144.85	Professional		$104.95	$104.95	$144.85
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $188.51	Professional		$104.73	$104.73	$188.51