Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $106.63	Facility		$106.63	$106.63	$106.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $88.45 / $106.63	Professional		$53.51	$88.45	$106.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.30 / $127.30 / $127.30	Facility		$127.30	$127.30	$127.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.96 / $127.30 / $127.30	Professional		$104.96	$127.30	$127.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.81 / $363.88 / $457.55	Facility		$290.81	$363.88	$457.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $162.53 / $187.64	Professional		$149.22	$162.53	$187.64
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $290.81 / $360.28 / $755.86	Facility		$290.81	$360.28	$755.86
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $147.75 / $147.75	Professional		$75.00	$147.75	$147.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $106.63 / $127.30	Facility		$75.75	$106.63	$127.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $50.72 / $95.67	Professional		$33.93	$50.72	$95.67
United Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $50.72 / $101.43	Professional		$33.93	$50.72	$101.43