Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $239.88	Professional		$120.23	$165.96	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $295.12 / $436.52	Facility		$288.40	$295.12	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $295.12	Professional		$239.88	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,096.48 / $2,630.27	Facility		$630.96	$1,096.48	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $436.52	Professional		$346.74	$389.05	$436.52
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,089.30	Facility		$851.14	$1,096.48	$2,089.30
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $467.74	Professional		$346.74	$346.74	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $295.12 / $602.56	Facility		$117.49	$295.12	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $302.00	Professional		$87.10	$128.82	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $128.82 / $354.81	Facility		$2.09	$128.82	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $363.08	Professional		$97.72	$144.54	$363.08