Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.85 / $121.85 / $2,168.00	Facility		$121.85	$121.85	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $121.85 / $130.19	Professional		$111.30	$121.85	$130.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,038.42 / $1,575.52 / $2,762.53	Facility		$1,038.42	$1,575.52	$2,762.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.17 / $89.58 / $215.50	Facility		$63.17	$89.58	$215.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $30.94 / $35.72	Professional		$28.41	$30.94	$35.72
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $81.90 / $169.69	Facility		$51.35	$81.90	$169.69
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $28.13 / $32.06	Professional		$28.13	$28.13	$32.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $143.88 / $2,872.00	Facility		$40.26	$143.88	$2,872.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.71 / $380.98 / $803.92	Professional		$199.71	$380.98	$803.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $2,872.00 / $4,241.00	Facility		$1,755.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.77 / $368.69 / $617.42	Professional		$203.77	$368.69	$617.42