Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.80 / $162.80 / $162.80	Facility		$162.80	$162.80	$162.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.88 / $147.75 / $162.80	Professional		$110.88	$147.75	$162.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.27 / $878.58 / $1,536.58	Facility		$598.27	$878.58	$1,536.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.38 / $610.48 / $610.48	Professional		$488.38	$610.48	$610.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,095.98 / $1,886.01 / $2,296.11	Facility		$1,095.98	$1,886.01	$2,296.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.04 / $694.76 / $752.00	Professional		$598.04	$694.76	$752.00
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $945.35 / $1,721.11 / $2,160.07	Facility		$945.35	$1,721.11	$2,160.07
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $592.13 / $592.13 / $805.29	Professional		$592.13	$592.13	$805.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.92 / $234.00 / $645.89	Facility		$186.92	$234.00	$645.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $891.46	Professional		$645.89	$645.89	$891.46
United Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $1,162.59	Professional		$645.89	$645.89	$1,162.59