Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.30 / $363.30 / $363.30	Facility		$363.30	$363.30	$363.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.77 / $363.30 / $497.56	Professional		$263.77	$363.30	$497.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.90 / $522.86 / $728.06	Facility		$447.90	$522.86	$728.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.29 / $496.72 / $522.86	Professional		$418.29	$496.72	$522.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $1,612.86 / $4,479.59	Facility		$373.35	$1,612.86	$4,479.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.00 / $642.36 / $769.62	Professional		$606.00	$642.36	$769.62
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $957.54 / $1,547.46 / $3,527.24	Facility		$957.54	$1,547.46	$3,527.24
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $606.00 / $606.00 / $623.60	Professional		$606.00	$606.00	$623.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.45 / $522.86 / $2,832.34	Facility		$173.45	$522.86	$2,832.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.90 / $272.45 / $608.91	Professional		$173.90	$272.45	$608.91
United Facility/Professional Professional Modifier Low / Median / High Price $173.90 / $274.37 / $558.21	Professional		$173.90	$274.37	$558.21