Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $564.00 / $564.00	Facility		$564.00	$564.00	$564.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $558.00 / $564.00	Professional		$402.00	$558.00	$564.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $600.00 / $600.00	Facility		$570.00	$600.00	$600.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $600.00 / $600.00	Professional		$480.00	$600.00	$600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,304.55 / $2,188.19 / $5,264.02	Facility		$1,304.55	$2,188.19	$5,264.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.61 / $875.93 / $1,215.28	Professional		$696.61	$875.93	$1,215.28
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,195.93 / $2,000.54 / $4,144.89	Facility		$1,195.93	$2,000.54	$4,144.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $689.71 / $689.71 / $1,090.18	Professional		$689.71	$689.71	$1,090.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,050.00 / $1,650.00	Facility		$600.00	$1,050.00	$1,650.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $301.35 / $794.60	Professional		$153.69	$301.35	$794.60
United Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $252.00 / $691.27	Professional		$153.69	$252.00	$691.27