Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.93 / $267.93 / $267.93	Facility		$267.93	$267.93	$267.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.52 / $265.08 / $267.93	Professional		$199.52	$265.08	$267.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.34 / $204.97 / $285.02	Facility		$61.34	$204.97	$285.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.02 / $285.02 / $285.02	Professional		$228.02	$285.02	$285.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.62 / $1,039.16 / $2,499.84	Facility		$573.62	$1,039.16	$2,499.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.78 / $415.94 / $546.92	Professional		$330.78	$415.94	$546.92
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $567.94 / $950.04 / $1,968.38	Facility		$567.94	$950.04	$1,968.38
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $327.51 / $327.51 / $517.66	Professional		$327.51	$327.51	$517.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.13 / $370.90 / $1,353.89	Facility		$205.13	$370.90	$1,353.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $171.02 / $604.78	Professional		$70.78	$171.02	$604.78
United Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $171.02 / $607.02	Professional		$70.78	$171.02	$607.02