Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.34 / $332.37 / $3,087.50	Facility		$197.34	$332.37	$3,087.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.34 / $311.27 / $1,083.00	Professional		$197.34	$311.27	$1,083.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.02 / $1,093.76 / $1,755.37	Facility		$516.02	$1,093.76	$1,755.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.30 / $602.39 / $1,122.24	Professional		$351.30	$602.39	$1,122.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.89 / $1,189.66 / $2,861.88	Facility		$838.89	$1,189.66	$2,861.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.88 / $778.24 / $1,419.31	Professional		$430.88	$778.24	$1,419.31
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $681.96 / $1,087.63 / $2,253.44	Facility		$681.96	$1,087.63	$2,253.44
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $435.77 / $719.50 / $1,337.42	Professional		$435.77	$719.50	$1,337.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.02 / $418.35 / $1,009.98	Facility		$214.02	$418.35	$1,009.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $383.49 / $703.28 / $1,525.12	Professional		$383.49	$703.28	$1,525.12
United Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $1,749.00 / $2,883.00	Facility		$563.00	$1,749.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.82 / $556.89 / $1,202.49	Professional		$366.82	$556.89	$1,202.49