Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $95.50 / $741.31	Facility		$93.33	$95.50	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $245.47	Professional		$93.33	$95.50	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $181.97 / $181.97	Facility		$91.20	$181.97	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $95.50	Professional		$75.86	$91.20	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $316.23 / $380.19	Facility		$165.96	$316.23	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $120.23	Professional		$95.50	$112.20	$120.23
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $295.12 / $346.74	Facility		$245.47	$295.12	$346.74
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $128.82	Professional		$95.50	$95.50	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $158.49 / $316.23	Facility		$54.95	$158.49	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $125.89	Professional		$93.33	$93.33	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $173.78	Professional		$93.33	$93.33	$173.78