Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.24 / $690.24 / $690.24	Facility		$690.24	$690.24	$690.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.24 / $812.49 / $1,021.37	Professional		$690.24	$812.49	$1,021.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.55 / $8,365.08 / $17,252.16	Facility		$4,142.55	$8,365.08	$17,252.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.51 / $1,651.32 / $2,486.54	Professional		$1,076.51	$1,651.32	$2,486.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,531.24 / $2,171.48 / $5,223.80	Facility		$1,531.24	$2,171.48	$5,223.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,242.67 / $2,022.45 / $2,933.06	Professional		$1,242.67	$2,022.45	$2,933.06
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,244.78 / $1,985.26 / $4,113.22	Facility		$1,244.78	$1,985.26	$4,113.22
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,038.49 / $1,666.77 / $2,481.14	Professional		$1,038.49	$1,666.77	$2,481.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,009.21 / $1,418.52 / $9,255.00	Facility		$1,009.21	$1,418.52	$9,255.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $901.89 / $1,571.50 / $3,101.91	Professional		$901.89	$1,571.50	$3,101.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $6,652.00 / $9,810.00	Facility		$3,293.00	$6,652.00	$9,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $917.64 / $1,700.06 / $2,981.70	Professional		$917.64	$1,700.06	$2,981.70