Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.80 / $676.80 / $676.80	Facility		$676.80	$676.80	$676.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $669.60 / $676.80	Professional		$504.00	$669.60	$676.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.37 / $720.00 / $901.63	Facility		$526.37	$720.00	$901.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $720.00 / $720.00	Professional		$576.00	$720.00	$720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,565.88 / $2,626.56 / $6,318.55	Facility		$1,565.88	$2,626.56	$6,318.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.51 / $1,050.58 / $1,457.60	Professional		$835.51	$1,050.58	$1,457.60
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,435.51 / $2,401.31 / $4,975.24	Facility		$1,435.51	$2,401.31	$4,975.24
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $827.24 / $827.24 / $1,307.56	Professional		$827.24	$827.24	$1,307.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,260.00 / $1,980.00	Facility		$720.00	$1,260.00	$1,980.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.20 / $576.00 / $1,898.50	Professional		$367.20	$576.00	$1,898.50
United Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $720.00 / $1,651.61	Professional		$360.00	$720.00	$1,651.61