Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $169.82 / $169.82	Facility		$158.49	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $275.42	Professional		$141.25	$169.82	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,466.84 / $10,715.19	Facility		$891.25	$4,466.84	$10,715.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $549.54	Professional		$234.42	$338.84	$549.54
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $501.19 / $794.33	Professional	50	$338.84	$501.19	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $588.84 / $1,412.54	Facility		$416.87	$588.84	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $707.95	Professional		$269.15	$446.68	$707.95
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $562.34 / $1,096.48	Facility		$457.09	$562.34	$1,096.48
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $630.96	Professional		$295.12	$407.38	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $281.84 / $467.74	Facility		$173.78	$281.84	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $1,122.02	Professional		$154.88	$295.12	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,248.07 / $8,912.51	Facility		$1,000.00	$5,248.07	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $562.34	Professional		$165.96	$275.42	$562.34