Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $645.65	Professional		$245.47	$380.19	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $758.58 / $1,122.02	Facility		$741.31	$758.58	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $758.58	Professional		$616.60	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $6,760.83	Facility		$1,621.81	$2,818.38	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,122.02	Professional		$891.25	$1,000.00	$1,122.02
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $5,370.32	Facility		$2,187.76	$2,754.23	$5,370.32
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,202.26	Professional		$891.25	$891.25	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $758.58 / $1,380.38	Facility		$275.42	$758.58	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $758.58	Professional		$190.55	$302.00	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $380.19 / $776.25	Facility		$4.57	$380.19	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $891.25	Professional		$190.55	$323.59	$891.25