Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $12,882.50	Facility		$186.21	$186.21	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $190.55 / $234.42	Professional		$186.21	$190.55	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $323.59 / $323.59	Facility		$158.49	$323.59	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $186.21	Professional		$141.25	$169.82	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $537.03 / $645.65	Facility		$288.40	$537.03	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $239.88	Professional		$190.55	$223.87	$239.88
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $512.86 / $602.56	Facility		$426.58	$512.86	$602.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $257.04	Professional		$190.55	$190.55	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $173.78 / $398.11	Facility		$81.28	$173.78	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $229.09	Professional		$173.78	$173.78	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $338.84	Professional		$186.21	$186.21	$338.84