Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.63 / $219.75 / $2,168.00	Facility		$174.63	$219.75	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.63 / $219.75 / $1,201.50	Professional		$174.63	$219.75	$1,201.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,032.77 / $1,703.36 / $3,251.10	Facility		$1,032.77	$1,703.36	$3,251.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.90 / $567.76 / $850.50	Professional		$342.90	$567.76	$850.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.85 / $826.55 / $1,988.38	Facility		$582.85	$826.55	$1,988.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.77 / $722.05 / $1,008.23	Professional		$411.77	$722.05	$1,008.23
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $473.81 / $755.66 / $1,565.65	Facility		$473.81	$755.66	$1,565.65
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $366.64 / $581.08 / $930.38	Professional		$366.64	$581.08	$930.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.30 / $383.50 / $2,099.50	Facility		$274.30	$383.50	$2,099.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.37 / $642.00 / $2,491.00	Professional		$309.37	$642.00	$2,491.00
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 $316.14 / $574.79 / $940.30	Professional		$316.14	$574.79	$940.30