Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $92.50 / $92.50	Facility		$92.50	$92.50	$92.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $92.50 / $164.00	Professional		$92.50	$92.50	$164.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.93 / $687.47 / $1,333.71	Facility		$416.93	$687.47	$1,333.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $281.64 / $394.16	Professional		$187.00	$281.64	$394.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.31 / $353.55 / $850.52	Facility		$249.31	$353.55	$850.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.22 / $340.87 / $482.76	Professional		$201.22	$340.87	$482.76
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $202.67 / $323.23 / $669.70	Facility		$202.67	$323.23	$669.70
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $177.16 / $303.17 / $401.76	Professional		$177.16	$303.17	$401.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $200.80 / $1,727.00	Facility		$142.47	$200.80	$1,727.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.02 / $276.75 / $456.91	Professional		$142.02	$276.75	$456.91
United Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $1,749.00 / $2,883.00	Facility		$563.00	$1,749.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.52 / $295.39 / $456.91	Professional		$146.52	$295.39	$456.91