Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.28 / $137.96 / $137.96	Facility		$57.28	$137.96	$137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $114.18 / $609.00	Professional		$57.28	$114.18	$609.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.17 / $585.44 / $1,245.99	Facility		$260.17	$585.44	$1,245.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.58 / $207.64 / $428.89	Professional		$101.58	$207.64	$428.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.17 / $490.91 / $1,180.96	Facility		$346.17	$490.91	$1,180.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.44 / $248.90 / $584.03	Professional		$124.44	$248.90	$584.03
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $272.58 / $448.81 / $929.89	Facility		$272.58	$448.81	$929.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $125.86 / $234.81 / $467.22	Professional		$125.86	$234.81	$467.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.81 / $145.06 / $422.23	Facility		$66.81	$145.06	$422.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.40 / $255.01 / $539.76	Professional		$158.40	$255.01	$539.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,063.00 / $1,597.44 / $3,584.00	Facility		$1,063.00	$1,597.44	$3,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.40 / $242.61 / $525.60	Professional		$158.40	$242.61	$525.60