Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $204.17 / $204.17	Facility		$125.89	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $316.23	Professional		$112.20	$177.83	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $977.24 / $2,818.38	Facility		$549.54	$977.24	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $676.08	Professional		$223.87	$371.54	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $776.25 / $1,862.09	Facility		$537.03	$776.25	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $891.25	Professional		$288.40	$501.19	$891.25
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $741.31 / $1,479.11	Facility		$602.56	$741.31	$1,479.11
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $831.76	Professional		$288.40	$446.68	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $269.15 / $954.99	Facility		$144.54	$269.15	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $977.24	Professional		$213.80	$380.19	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $3,715.35	Facility		$1,023.29	$1,862.09	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $309.03 / $616.60	Professional		$177.83	$309.03	$616.60