Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $192.00 / $192.00	Facility		$192.00	$192.00	$192.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $159.36 / $192.00	Professional		$153.60	$159.36	$192.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.48 / $234.87 / $378.90	Facility		$118.48	$234.87	$378.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.56 / $163.19 / $163.19	Professional		$130.56	$163.19	$163.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.60 / $187.31 / $491.30	Facility		$161.60	$187.31	$491.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.61 / $187.75 / $203.22	Professional		$161.61	$187.75	$203.22
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $160.00 / $161.44	Facility		$160.00	$160.00	$161.44
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.01 / $170.68	Professional		$160.00	$160.01	$170.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $192.00 / $324.48	Facility		$192.00	$192.00	$324.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $220.83	Professional		$160.00	$160.00	$220.83
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $290.05	Professional		$160.00	$160.00	$290.05