Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.30 / $747.30 / $747.30	Facility		$747.30	$747.30	$747.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.50 / $747.30 / $825.00	Professional		$556.50	$747.30	$825.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.36 / $453.74 / $795.00	Facility		$189.36	$453.74	$795.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.00 / $795.00 / $795.00	Professional		$636.00	$795.00	$795.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,600.85 / $2,900.09 / $6,976.55	Facility		$1,600.85	$2,900.09	$6,976.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $922.69 / $1,160.22 / $1,543.12	Professional		$922.69	$1,160.22	$1,543.12
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,585.00 / $2,651.38 / $5,493.35	Facility		$1,585.00	$2,651.38	$5,493.35
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $913.56 / $913.56 / $1,443.99	Professional		$913.56	$913.56	$1,443.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $1,470.75 / $3,776.25	Facility		$795.00	$1,470.75	$3,776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $795.00 / $1,823.65	Professional		$333.90	$795.00	$1,823.65
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $715.50 / $1,693.08	Professional		$333.90	$715.50	$1,693.08