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 $698.40 / $720.00 / $720.00	Facility		$698.40	$720.00	$720.00
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 $1,851.18 / $2,647.79 / $6,318.55	Facility		$1,851.18	$2,647.79	$6,318.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.51 / $1,050.58 / $1,382.40	Professional		$835.51	$1,050.58	$1,382.40
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,458.38 / $2,401.31 / $4,975.24	Facility		$1,458.38	$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 / $1,143.79 / $3,420.00	Facility		$720.00	$1,143.79	$3,420.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $458.64 / $1,527.70	Professional		$302.39	$458.64	$1,527.70
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $458.64 / $1,533.36	Professional		$302.39	$458.64	$1,533.36