Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $75.86	Professional		$38.90	$48.98	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $91.20 / $134.90	Facility		$89.13	$91.20	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $91.20	Professional		$74.13	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $346.74 / $831.76	Facility		$199.53	$346.74	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $134.90	Professional		$107.15	$120.23	$134.90
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $338.84 / $645.65	Facility		$263.03	$338.84	$645.65
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $144.54	Professional		$107.15	$107.15	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $91.20 / $186.21	Facility		$38.90	$91.20	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $100.00	Professional		$27.54	$40.74	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $40.74 / $112.20	Facility		$0.65	$40.74	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $112.20	Professional		$30.90	$45.71	$112.20