Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $100.00	Professional		$52.48	$70.79	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $141.25 / $208.93	Facility		$138.04	$141.25	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $141.25	Professional		$112.20	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $524.81 / $1,258.93	Facility		$295.12	$524.81	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $208.93	Professional		$162.18	$186.21	$208.93
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $524.81 / $1,000.00	Facility		$407.38	$524.81	$1,000.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $223.87	Professional		$162.18	$162.18	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $141.25 / $288.40	Facility		$57.54	$141.25	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $141.25	Professional		$38.02	$58.88	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $56.23 / $154.88	Facility		$0.91	$56.23	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $173.78	Professional		$43.65	$64.57	$173.78