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 $420.00 / $564.00 / $720.00	Professional		$420.00	$564.00	$720.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.00 / $690.00 / $1,330.17	Facility		$588.00	$690.00	$1,330.17
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 / $1,167.20	Professional		$696.61	$875.93	$1,167.20
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 $540.00 / $1,050.00 / $1,650.00	Facility		$540.00	$1,050.00	$1,650.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $480.00 / $1,582.08	Professional		$306.00	$480.00	$1,582.08
United Facility/Professional Professional Modifier Low / Median / High Price $252.29 / $360.42 / $1,277.80	Professional		$252.29	$360.42	$1,277.80