Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.17 / $126.17 / $126.17	Facility		$126.17	$126.17	$126.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $103.43 / $126.17	Professional		$53.93	$103.43	$126.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.04 / $150.63 / $209.75	Facility		$129.04	$150.63	$209.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.51 / $143.11 / $150.63	Professional		$120.51	$143.11	$150.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $464.51 / $1,290.15	Facility		$97.44	$464.51	$1,290.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.75 / $185.24 / $221.93	Professional		$174.75	$185.24	$221.93
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $275.77 / $445.68 / $1,015.86	Facility		$275.77	$445.68	$1,015.86
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $174.75 / $174.75 / $179.60	Professional		$174.75	$174.75	$179.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.96 / $150.63 / $629.92	Facility		$38.96	$150.63	$629.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $65.43 / $151.26	Professional		$39.06	$65.43	$151.26
United Facility/Professional Facility Modifier Low / Median / High Price $133.11 / $156.60 / $187.92	Facility		$133.11	$156.60	$187.92
United Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $65.43 / $244.09	Professional		$39.06	$65.43	$244.09