Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.75 / $238.75 / $238.75	Facility		$238.75	$238.75	$238.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $238.75 / $252.74	Professional		$158.63	$238.75	$252.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.14 / $366.76 / $483.13	Facility		$296.14	$366.76	$483.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.88 / $326.42 / $343.60	Professional		$274.88	$326.42	$343.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $1,060.41 / $2,945.21	Facility		$192.25	$1,060.41	$2,945.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.25 / $422.15 / $505.78	Professional		$398.25	$422.15	$505.78
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $629.55 / $1,017.42 / $2,319.06	Facility		$629.55	$1,017.42	$2,319.06
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $398.25 / $398.25 / $410.00	Professional		$398.25	$398.25	$410.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.16 / $343.60 / $1,603.51	Facility		$107.16	$343.60	$1,603.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $171.40 / $376.08	Professional		$102.33	$171.40	$376.08
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $171.40 / $345.04	Professional		$102.33	$171.40	$345.04