Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $893.00 / $893.00	Facility		$893.00	$893.00	$893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.00 / $826.50 / $893.00	Professional		$665.00	$826.50	$893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $921.50 / $950.00 / $950.00	Facility		$921.50	$950.00	$950.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $950.00 / $950.00	Professional		$760.00	$950.00	$950.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,065.77 / $3,493.06 / $8,335.66	Facility		$2,065.77	$3,493.06	$8,335.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.47 / $1,386.28 / $1,823.71	Professional		$1,102.47	$1,386.28	$1,823.71
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,893.77 / $3,167.89 / $6,563.51	Facility		$1,893.77	$3,167.89	$6,563.51
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,091.56 / $1,091.56 / $1,725.35	Professional		$1,091.56	$1,091.56	$1,725.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $1,509.17 / $4,512.50	Facility		$950.00	$1,509.17	$4,512.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $605.15 / $2,015.71	Professional		$399.00	$605.15	$2,015.71
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $855.00 / $2,023.18	Professional		$399.00	$855.00	$2,023.18