Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $316.23 / $316.23	Facility		$302.00	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $602.56	Professional		$257.04	$316.23	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $870.96 / $2,137.96	Facility		$363.08	$870.96	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,122.02	Professional		$478.63	$724.44	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,754.23	Facility		$812.83	$1,148.15	$2,754.23
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	54	$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $933.25 / $1,380.38	Professional		$537.03	$933.25	$1,380.38
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,137.96	Facility		$891.25	$1,096.48	$2,137.96
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,258.93	Professional		$588.84	$831.76	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $501.19 / $870.96	Facility		$302.00	$501.19	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $602.56 / $2,238.72	Professional		$295.12	$602.56	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,819.70 / $3,467.37	Facility		$602.56	$1,819.70	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $1,047.13	Professional		$295.12	$537.03	$1,047.13