Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.30 / $163.30 / $2,168.00	Facility		$163.30	$163.30	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.81 / $163.30 / $324.51	Professional		$141.81	$163.30	$324.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $65.28 / $131.58	Facility		$0.98	$65.28	$131.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $65.28 / $65.28	Professional		$53.73	$65.28	$65.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.82 / $537.50 / $1,293.02	Facility		$378.82	$537.50	$1,293.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.71 / $185.63 / $217.17	Professional		$172.71	$185.63	$217.17
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $344.39 / $491.40 / $1,018.13	Facility		$344.39	$491.40	$1,018.13
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $171.00 / $171.00	Professional		$168.75	$171.00	$171.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.87 / $272.63 / $491.00	Facility		$160.87	$272.63	$491.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.25 / $309.82 / $625.75	Professional		$170.25	$309.82	$625.75
United Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $1,727.00 / $2,883.00	Facility		$382.00	$1,727.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.25 / $322.27 / $603.30	Professional		$170.25	$322.27	$603.30