Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $524.81	Professional		$229.09	$316.23	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $616.60 / $912.01	Facility		$602.56	$616.60	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $616.60	Professional		$501.19	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $5,623.41	Facility		$1,318.26	$2,290.87	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $912.01	Professional		$724.44	$812.83	$912.01
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $4,365.16	Facility		$1,778.28	$2,290.87	$4,365.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $977.24	Professional		$724.44	$724.44	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $616.60 / $1,122.02	Facility		$257.04	$616.60	$1,122.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $630.96	Professional		$173.78	$263.03	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $346.74 / $724.44	Facility		$4.17	$346.74	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $724.44	Professional		$173.78	$295.12	$724.44