Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.82 / $110.82 / $2,168.00	Facility		$110.82	$110.82	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $118.29 / $170.36	Professional		$110.82	$118.29	$170.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.69 / $1,364.82 / $2,679.65	Facility		$650.69	$1,364.82	$2,679.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.46 / $295.77 / $415.24	Professional		$191.46	$295.77	$415.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.79 / $395.36 / $951.09	Facility		$278.79	$395.36	$951.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.05 / $381.19 / $544.73	Professional		$227.05	$381.19	$544.73
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $226.64 / $361.45 / $748.89	Facility		$226.64	$361.45	$748.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $199.90 / $342.09 / $453.34	Professional		$199.90	$342.09	$453.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.45 / $232.50 / $2,872.00	Facility		$170.45	$232.50	$2,872.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $307.67 / $617.66	Professional		$154.00	$307.67	$617.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $2,872.00 / $4,241.00	Facility		$1,755.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.47 / $283.27 / $474.39	Professional		$153.47	$283.27	$474.39