Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.23 / $207.23 / $318.00	Facility		$207.23	$207.23	$318.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $207.23 / $396.41	Professional		$158.63	$207.23	$396.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $533.74 / $1,028.84 / $1,667.93	Facility		$533.74	$1,028.84	$1,667.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.70 / $464.26 / $663.97	Professional		$281.70	$464.26	$663.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $481.78 / $683.22 / $1,643.57	Facility		$481.78	$683.22	$1,643.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.54 / $335.15 / $520.13	Professional		$266.54	$335.15	$520.13
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $379.35 / $624.62 / $1,294.15	Facility		$379.35	$624.62	$1,294.15
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $263.89 / $263.89 / $478.66	Professional		$263.89	$263.89	$478.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.52 / $311.50 / $968.88	Facility		$142.52	$311.50	$968.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.10 / $356.00 / $720.73	Professional		$202.10	$356.00	$720.73
United Facility/Professional Professional Modifier Low / Median / High Price $202.10 / $340.83 / $616.16	Professional		$202.10	$340.83	$616.16