Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $165.96	Professional		$83.18	$107.15	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $199.53 / $295.12	Facility		$194.98	$199.53	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $199.53	Professional		$158.49	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $741.31 / $1,778.28	Facility		$436.52	$741.31	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $295.12	Professional		$229.09	$263.03	$295.12
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $741.31 / $1,412.54	Facility		$575.44	$741.31	$1,412.54
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $316.23	Professional		$229.09	$229.09	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $199.53 / $363.08	Facility		$85.11	$199.53	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $218.78	Professional		$58.88	$89.13	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $117.49 / $239.88	Facility		$1.41	$117.49	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $234.42	Professional		$58.88	$100.00	$234.42