Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.64 / $107.64 / $107.64	Facility		$107.64	$107.64	$107.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $107.64 / $142.44	Professional		$64.95	$107.64	$142.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.18 / $166.22 / $228.59	Facility		$148.18	$166.22	$228.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $160.11 / $168.54	Professional		$134.83	$160.11	$168.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $425.20 / $1,180.96	Facility		$133.72	$425.20	$1,180.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $170.13 / $203.84	Professional		$160.50	$170.13	$203.84
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $252.44 / $407.96 / $929.89	Facility		$252.44	$407.96	$929.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $160.50 / $164.40	Professional		$160.50	$160.50	$164.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $138.52 / $620.42	Facility		$64.95	$138.52	$620.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $97.68 / $209.03	Professional		$65.12	$97.68	$209.03
United Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $102.74 / $228.02	Professional		$65.12	$102.74	$228.02