Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,148.15 / $4,786.30	Facility		$104.71	$1,148.15	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $776.25	Professional		$104.71	$104.71	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $269.15 / $269.15	Facility		$131.83	$269.15	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $151.36	Professional		$83.18	$104.71	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $316.23	Facility		$141.25	$169.82	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $134.90	Professional		$104.71	$112.20	$134.90
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $245.47 / $512.86	Facility		$131.83	$245.47	$512.86
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $125.89	Professional		$107.15	$107.15	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $346.74	Facility		$109.65	$109.65	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $467.74	Professional		$109.65	$123.03	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $194.98	Professional		$104.71	$109.65	$194.98