Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $173.78	Facility		$138.04	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $288.40	Professional		$123.03	$162.18	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,905.46 / $4,466.84	Facility		$776.25	$1,905.46	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $549.54	Professional		$218.78	$323.59	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $616.60 / $1,445.44	Facility		$436.52	$616.60	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $691.83	Professional		$257.04	$426.58	$691.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $588.84 / $1,148.15	Facility		$467.74	$588.84	$1,148.15
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $660.69	Professional		$275.42	$407.38	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $478.63	Facility		$158.49	$263.03	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $977.24	Professional		$162.18	$302.00	$977.24
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 $162.18 / $263.03 / $524.81	Professional		$162.18	$263.03	$524.81