Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $169.82	Facility		$83.18	$83.18	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $114.82	Professional		$83.18	$85.11	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $125.89 / $131.83	Facility		$77.62	$125.89	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $89.13	Professional		$70.79	$85.11	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $269.15 / $323.59	Facility		$138.04	$269.15	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $109.65	Professional		$85.11	$91.20	$109.65
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $251.19 / $302.00	Facility		$204.17	$251.19	$302.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $102.33	Professional		$85.11	$85.11	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $147.91	Facility		$83.18	$83.18	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $213.80	Professional		$83.18	$87.10	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $123.03	Professional		$85.11	$85.11	$123.03