Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.43 / $121.43 / $121.43	Facility		$121.43	$121.43	$121.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $100.79 / $121.43	Professional		$97.14	$100.79	$121.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $215.14 / $534.38	Facility		$28.50	$215.14	$534.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.08 / $107.60 / $107.60	Professional		$86.08	$107.60	$107.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $52.56 / $63.98	Facility		$30.54	$52.56	$63.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $19.36 / $20.96	Professional		$16.67	$19.36	$20.96
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $26.34 / $47.96 / $60.19	Facility		$26.34	$47.96	$60.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $16.50 / $22.44	Professional		$16.50	$16.50	$22.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $31.01 / $164.17	Facility		$17.89	$31.01	$164.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $139.66	Professional		$101.19	$101.19	$139.66
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $183.44	Professional		$101.19	$101.19	$183.44