Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.60 / $87.60 / $87.60	Facility		$87.60	$87.60	$87.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.24 / $87.12 / $101.57	Professional		$63.24	$87.12	$101.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $104.58 / $104.58	Facility		$104.58	$104.58	$104.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $104.58 / $104.58	Professional		$86.23	$104.58	$104.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.77 / $298.77 / $375.68	Facility		$238.77	$298.77	$375.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $133.24 / $153.83	Professional		$122.34	$133.24	$153.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $238.77 / $295.81 / $620.60	Facility		$238.77	$295.81	$620.60
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $121.13 / $121.13	Professional		$85.00	$121.13	$121.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.22 / $103.79 / $109.81	Facility		$77.22	$103.79	$109.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $43.24 / $96.93	Professional		$34.59	$43.24	$96.93
United Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $51.89 / $138.05	Professional		$34.59	$51.89	$138.05