Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $338.84	Professional		$165.96	$204.17	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $407.38 / $602.56	Facility		$398.11	$407.38	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $407.38	Professional		$323.59	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,513.56 / $3,630.78	Facility		$851.14	$1,513.56	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $602.56	Professional		$467.74	$537.03	$602.56
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,884.03	Facility		$1,174.90	$1,513.56	$2,884.03
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $645.65	Professional		$467.74	$467.74	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $407.38 / $724.44	Facility		$194.98	$407.38	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $407.38	Professional		$112.20	$169.82	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $223.87 / $457.09	Facility		$2.69	$223.87	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $478.63	Professional		$112.20	$194.98	$478.63