Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.75 / $194.75 / $2,168.00	Facility		$194.75	$194.75	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.73 / $204.64 / $349.09	Professional		$181.73	$204.64	$349.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.58 / $1,697.53 / $3,378.92	Facility		$870.58	$1,697.53	$3,378.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.18 / $620.96 / $753.13	Professional		$367.18	$620.96	$753.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.12 / $711.88 / $1,712.53	Facility		$456.12	$711.88	$1,712.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.70 / $648.92 / $892.20	Professional		$359.70	$648.92	$892.20
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $395.27 / $649.64 / $1,348.45	Facility		$395.27	$649.64	$1,348.45
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $359.70 / $592.04 / $815.74	Professional		$359.70	$592.04	$815.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.75 / $355.34 / $634.78	Facility		$194.75	$355.34	$634.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.69 / $483.49 / $1,549.92	Professional		$229.69	$483.49	$1,549.92
United Facility/Professional Facility Modifier Low / Median / High Price $478.00 / $2,872.00 / $4,241.00	Facility		$478.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.24 / $434.54 / $826.75	Professional		$228.24	$434.54	$826.75