Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $389.05	Facility		$194.98	$194.98	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $245.47	Professional		$194.98	$194.98	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $288.40 / $316.23	Facility		$181.97	$288.40	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $204.17	Professional		$165.96	$199.53	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $616.60 / $741.31	Facility		$323.59	$616.60	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $251.19	Professional		$194.98	$213.80	$251.19
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $588.84 / $691.83	Facility		$478.63	$588.84	$691.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $234.42	Professional		$199.53	$199.53	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $338.84	Facility		$190.55	$190.55	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $489.78	Professional		$190.55	$199.53	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $295.12	Professional		$194.98	$194.98	$295.12