Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $144.54	Facility		$141.25	$141.25	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $141.25	Professional		$112.20	$117.49	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $169.82 / $177.83	Facility		$112.20	$169.82	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $117.49	Professional		$93.33	$112.20	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $165.96 / $269.15	Facility		$158.49	$165.96	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $199.53	Professional		$158.49	$181.97	$199.53
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $158.49	Facility		$154.88	$154.88	$158.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $165.96	Professional		$154.88	$154.88	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $302.00	Facility		$177.83	$177.83	$302.00