Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $331.13	Facility		$162.18	$162.18	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $218.78	Professional		$162.18	$162.18	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $239.88 / $251.19	Facility		$151.36	$239.88	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $173.78	Professional		$138.04	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $257.04 / $389.05	Facility		$208.93	$257.04	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $199.53	Professional		$162.18	$169.82	$199.53
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $302.00 / $588.84	Facility		$199.53	$302.00	$588.84
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $186.21	Professional		$158.49	$158.49	$186.21
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 / $173.78 / $416.87	Professional		$162.18	$173.78	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $245.47	Professional		$162.18	$162.18	$245.47