Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $147.91	Professional		$134.90	$134.90	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $288.40 / $288.40	Facility		$138.04	$288.40	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $134.90	Professional		$102.33	$114.82	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $416.87 / $575.44	Facility		$199.53	$416.87	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $177.83	Professional		$138.04	$154.88	$177.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $436.52 / $537.03	Facility		$223.87	$436.52	$537.03
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $147.91	Professional		$138.04	$138.04	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $245.47	Facility		$138.04	$138.04	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $181.97	Professional		$138.04	$138.04	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $239.88	Professional		$125.89	$134.90	$239.88