Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $318.75 / $318.75	Facility		$318.75	$318.75	$318.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $425.00	Professional		$318.75	$318.75	$425.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.25 / $464.41 / $905.91	Facility		$275.25	$464.41	$905.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.00 / $965.20 / $1,535.20	Facility		$836.00	$965.20	$1,535.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.08 / $1,164.08 / $1,164.08	Professional		$1,164.08	$1,164.08	$1,164.08
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $1,520.00	Facility		$760.00	$760.00	$1,520.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $375.00 / $626.19	Facility		$250.00	$375.00	$626.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,432.72 / $1,432.72 / $1,432.72	Professional		$1,432.72	$1,432.72	$1,432.72