Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $269.15 / $269.15	Facility		$104.71	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $204.17 / $371.54	Professional		$93.33	$204.17	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,905.46 / $4,466.84	Facility		$575.44	$1,905.46	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $346.74 / $724.44	Professional		$165.96	$346.74	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $2,187.76	Facility		$660.69	$933.25	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $1,023.29	Professional		$213.80	$467.74	$1,023.29
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $891.25 / $1,737.80	Facility		$707.95	$891.25	$1,737.80
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $891.25	Professional		$218.78	$398.11	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $269.15 / $2,290.87	Facility		$112.20	$269.15	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $1,122.02	Professional		$229.09	$416.87	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,691.53 / $6,456.54	Facility		$1,000.00	$2,691.53	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $295.12 / $691.83	Professional		$125.89	$295.12	$691.83