Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.10 / $791.10 / $791.10	Facility		$791.10	$791.10	$791.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.62 / $791.10 / $1,104.70	Professional		$779.62	$791.10	$1,104.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,695.60 / $3,765.99 / $7,552.09	Facility		$1,695.60	$3,765.99	$7,552.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,449.25 / $2,239.05 / $3,141.67	Professional		$1,449.25	$2,239.05	$3,141.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,968.37 / $2,791.39 / $6,715.08	Facility		$1,968.37	$2,791.39	$6,715.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,597.53 / $2,691.25 / $3,832.69	Professional		$1,597.53	$2,691.25	$3,832.69
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,600.14 / $2,552.00 / $5,287.46	Facility		$1,600.14	$2,552.00	$5,287.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,406.48 / $2,406.90 / $3,189.66	Professional		$1,406.48	$2,406.90	$3,189.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,158.64 / $1,406.41 / $3,378.00	Facility		$1,158.64	$1,406.41	$3,378.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,155.47 / $2,171.07 / $3,511.91	Professional		$1,155.47	$2,171.07	$3,511.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,751.00 / $3,500.00 / $8,152.00	Facility		$1,751.00	$3,500.00	$8,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,159.41 / $2,327.81 / $3,347.51	Professional		$1,159.41	$2,327.81	$3,347.51