Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.14 / $657.14 / $657.14	Facility		$657.14	$657.14	$657.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.51 / $657.14 / $864.50	Professional		$634.51	$657.14	$864.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.86 / $913.60 / $2,986.40	Facility		$143.86	$913.60	$2,986.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.88 / $913.60 / $913.60	Professional		$730.88	$913.60	$913.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.42 / $1,213.72 / $2,896.36	Facility		$771.42	$1,213.72	$2,896.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.47 / $528.71 / $703.19	Professional		$420.47	$528.71	$703.19
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $658.02 / $1,100.74 / $2,280.60	Facility		$658.02	$1,100.74	$2,280.60
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $416.30 / $658.02	Professional		$416.30	$416.30	$658.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $657.14 / $745.94 / $2,702.58	Facility		$657.14	$745.94	$2,702.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,116.00 / $1,116.00 / $1,116.00	Professional		$1,116.00	$1,116.00	$1,116.00