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 $604.96 / $1,087.13 / $1,684.68	Facility		$604.96	$1,087.13	$1,684.68
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 $1,231.94 / $1,231.94 / $1,231.94	Professional		$1,231.94	$1,231.94	$1,231.94
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 $318.75 / $418.35 / $715.28	Facility		$318.75	$418.35	$715.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,516.23 / $1,516.23 / $1,516.23	Professional		$1,516.23	$1,516.23	$1,516.23