Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $338.84	Facility		$169.82	$169.82	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $223.87	Professional		$169.82	$169.82	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $234.42 / $257.04	Facility		$158.49	$234.42	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $169.82	Professional		$134.90	$162.18	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $257.04 / $416.87	Facility		$208.93	$257.04	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $199.53 / $218.78	Professional		$173.78	$199.53	$218.78
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $309.03 / $602.56	Facility		$204.17	$309.03	$602.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $234.42	Professional		$173.78	$173.78	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $309.03	Facility		$162.18	$162.18	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $213.80	Professional		$162.18	$162.18	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $309.03	Professional		$169.82	$169.82	$309.03