Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.80 / $300.80 / $300.80	Facility		$300.80	$300.80	$300.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $300.80 / $384.00	Professional		$224.00	$300.80	$384.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.53 / $320.00 / $431.05	Facility		$202.53	$320.00	$431.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $320.00 / $320.00	Professional		$256.00	$320.00	$320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.71 / $1,166.96 / $2,807.29	Facility		$695.71	$1,166.96	$2,807.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.25 / $466.81 / $622.04	Professional		$371.25	$466.81	$622.04
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $637.79 / $1,066.88 / $2,210.46	Facility		$637.79	$1,066.88	$2,210.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $367.57 / $367.57 / $580.99	Professional		$367.57	$367.57	$580.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $560.00 / $880.00	Facility		$320.00	$560.00	$880.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $256.00 / $843.78	Professional		$163.19	$256.00	$843.78
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $192.00 / $689.60	Professional		$160.00	$192.00	$689.60