Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.35 / $893.94 / $893.94	Facility		$582.35	$893.94	$893.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.94 / $893.94 / $1,273.72	Professional		$893.94	$893.94	$1,273.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $532.76 / $798.53 / $1,328.51	Facility		$532.76	$798.53	$1,328.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.52 / $571.90 / $665.83	Professional		$457.52	$571.90	$665.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,484.68 / $3,571.61	Facility		$1,046.93	$1,484.68	$3,571.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.37 / $1,392.93 / $2,020.09	Professional		$864.37	$1,392.93	$2,020.09
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $851.08 / $1,357.36 / $2,812.29	Facility		$851.08	$1,357.36	$2,812.29
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $715.24 / $1,147.96 / $1,708.84	Professional		$715.24	$1,147.96	$1,708.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.81 / $875.24 / $2,152.59	Facility		$436.81	$875.24	$2,152.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $464.11 / $813.03 / $1,653.29	Professional		$464.11	$813.03	$1,653.29
United Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $1,749.00 / $2,883.00	Facility		$563.00	$1,749.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.13 / $974.07 / $1,578.62	Professional		$492.13	$974.07	$1,578.62