Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $977.24	Facility		$489.78	$489.78	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $645.65	Professional		$489.78	$489.78	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $741.31 / $776.25	Facility		$489.78	$741.31	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $501.19	Professional		$389.05	$489.78	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $537.03 / $1,445.44	Facility		$512.86	$537.03	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $630.96	Professional		$501.19	$588.84	$630.96
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $512.86	Facility		$501.19	$501.19	$512.86
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $537.03	Professional		$501.19	$501.19	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $831.76	Facility		$501.19	$501.19	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $602.56	Professional		$501.19	$562.34	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $891.25	Professional		$489.78	$549.54	$891.25