Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,995.26	Professional		$891.25	$1,071.52	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,388.44 / $8,128.31	Facility		$1,479.11	$3,388.44	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $3,630.78	Professional		$1,584.89	$2,454.71	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $8,128.31	Facility		$2,137.96	$3,388.44	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,630.27 / $4,073.80	Professional		$1,548.82	$2,630.27	$4,073.80
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $6,456.54	Facility		$2,630.27	$3,311.31	$6,456.54
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,715.35	Professional		$1,621.81	$2,344.23	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,479.11 / $3,019.95	Facility		$954.99	$1,479.11	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $7,244.36	Professional		$1,023.29	$1,949.84	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,311.31 / $8,511.38	Facility		$794.33	$3,311.31	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,778.28 / $3,388.44	Professional		$1,000.00	$1,778.28	$3,388.44