Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.08 / $603.08 / $603.08	Facility		$603.08	$603.08	$603.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.45 / $625.63 / $1,074.86	Professional		$564.45	$625.63	$1,074.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,178.08 / $2,921.42 / $5,288.93	Facility		$1,178.08	$2,921.42	$5,288.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,094.18 / $1,861.90 / $2,258.21	Professional		$1,094.18	$1,861.90	$2,258.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.74 / $2,204.92 / $5,304.25	Facility		$1,412.74	$2,204.92	$5,304.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.42 / $1,985.01 / $2,749.35	Professional		$1,108.42	$1,985.01	$2,749.35
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,224.27 / $2,012.14 / $4,176.58	Facility		$1,224.27	$2,012.14	$4,176.58
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,108.42 / $1,824.41 / $2,513.71	Professional		$1,108.42	$1,824.41	$2,513.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $627.26 / $1,083.46 / $1,916.22	Facility		$627.26	$1,083.46	$1,916.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $712.76 / $1,439.12 / $4,761.84	Professional		$712.76	$1,439.12	$4,761.84
United Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $3,500.00 / $8,152.00	Facility		$796.00	$3,500.00	$8,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.08 / $1,274.58 / $2,502.42	Professional		$677.08	$1,274.58	$2,502.42