Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Facility		$197.83	$197.83	$197.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $271.67	Professional		$197.83	$197.83	$271.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.95 / $183.62 / $407.12	Facility		$179.95	$183.62	$407.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.02 / $201.30 / $207.53	Professional		$166.02	$201.30	$207.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.39 / $277.48 / $535.38	Facility		$239.39	$277.48	$535.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $225.42 / $251.13	Professional		$197.83	$225.42	$251.13
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $230.25 / $237.02 / $237.02	Facility		$230.25	$237.02	$237.02
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $197.74 / $197.74 / $237.02	Professional		$197.74	$197.74	$237.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $197.65 / $435.55	Facility		$197.65	$197.65	$435.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $220.03 / $508.30	Professional		$197.65	$220.03	$508.30
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $209.70 / $366.78	Professional		$197.83	$209.70	$366.78